Families Connected Annual Survey for Families

We believe the Regional Family Networks across Oregon play an important role in the lives of families with children who have disabilities. Families Connected sees a bright future for all children with disabilities, and works hard to make sure the community is a welcoming and supportive place for you, your child, and/or family member.

We believe families and community partners play an important role in the work we do, and they guide how Families Connected delivers its services. With that in mind, we ask you to please take the next 10 minutes to share your ideas, your thoughts, and your experiences with us. This will help Families Connected effectively reach more families.

Thank you very much for taking the time to share your feedback and your ideas.

The Families Connected Team

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* 1. How have you been involved with Families Connected in the past 12 months?

Requested information from Families Connected

Received 1:1 support to access or navigate services

Parent support group

Parent/caregiver training or educational event

Family fun event

Planning or advisory groups

Legislative advocacy (for example, met with legislators, gave virtual testimony, participated in Advocacy Day in Salem)

Gave or received support from other families

Social media

Received help accessing the community (for example, Families Connected provides a referral to a local dance company or consults with the dance company so the staff can better support your child)

Other (please specify):

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* 2. Thinking about when you talk with a representative from Families Connected, attend a activity, or ask for assistance, how much do you agree or disagree with the following statements,

	Agree	Neither Agree or Disagree	Disagree
The Families Connected team treats me with respect.	The Families Connected team treats me with respect. Agree	The Families Connected team treats me with respect. Neither Agree or Disagree	The Families Connected team treats me with respect. Disagree
The Families Connected team makes me feel welcome.	The Families Connected team makes me feel welcome. Agree	The Families Connected team makes me feel welcome. Neither Agree or Disagree	The Families Connected team makes me feel welcome. Disagree
The staff at Families Connected is easy to reach.	The staff at Families Connected is easy to reach. Agree	The staff at Families Connected is easy to reach. Neither Agree or Disagree	The staff at Families Connected is easy to reach. Disagree
The staff at Families Connected helps me to find answers to my questions.	The staff at Families Connected helps me to find answers to my questions. Agree	The staff at Families Connected helps me to find answers to my questions. Neither Agree or Disagree	The staff at Families Connected helps me to find answers to my questions. Disagree
The support I receive is responsive to my cultural preferences.	The support I receive is responsive to my cultural preferences. Agree	The support I receive is responsive to my cultural preferences. Neither Agree or Disagree	The support I receive is responsive to my cultural preferences. Disagree
The information I get is easy to understand.	The information I get is easy to understand. Agree	The information I get is easy to understand. Neither Agree or Disagree	The information I get is easy to understand. Disagree

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* 3. What have you liked most about your involvement with Families Connected?

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* 4. Check the box if you feel, with the right supports, that your child/family member will:
(Check all that apply.)

Have friends.

Earn a high school diploma.

Receive post-secondary training or education after high school.

Volunteer in their community.

Work at a paying job.

Live independently.

Have romantic relationships.

Be safe and healthy.

Be connected to family.

Be supported to make their own decisions.

Be their own advocate and direct their own life.

Other (please specify):

None of the above.

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* 5. Because of my involvement with Families Connected over the past 12 months:
(Please check all that apply.)

I know more about disability and/or social justice issues.

I know more about disability service systems.

I know more about my child/family member's rights.

I have access to the training and resources I need to help my child/family member live the life they want.

I have access to the training and resources I need to pursue a full life for myself and be active and included in my community.

I am better able to say what is important to me or my family.

I feel less isolated and more connected to other families.

Other (please specify):

None of the above.

Question Title

* 6. Do you agree or disagree with the following statements?
Because of my involvement with Families Connected:

	Agree	Neither Agree or Disagree	Disagree
I feel confident and supported to go to community events.	I feel confident and supported to go to community events. Agree	I feel confident and supported to go to community events. Neither Agree or Disagree	I feel confident and supported to go to community events. Disagree
I feel supported to appreciate and focus on my child/family member's strengths, gifts, and talents.	I feel supported to appreciate and focus on my child/family member's strengths, gifts, and talents. Agree	I feel supported to appreciate and focus on my child/family member's strengths, gifts, and talents. Neither Agree or Disagree	I feel supported to appreciate and focus on my child/family member's strengths, gifts, and talents. Disagree
I am pursuing a vision for my child/family member that is not determined by their disability.	I am pursuing a vision for my child/family member that is not determined by their disability. Agree	I am pursuing a vision for my child/family member that is not determined by their disability. Neither Agree or Disagree	I am pursuing a vision for my child/family member that is not determined by their disability. Disagree
I feel that I am a stronger advocate for/in the disability community.	I feel that I am a stronger advocate for/in the disability community. Agree	I feel that I am a stronger advocate for/in the disability community. Neither Agree or Disagree	I feel that I am a stronger advocate for/in the disability community. Disagree
I feel more connected and included in my community.	I feel more connected and included in my community. Agree	I feel more connected and included in my community. Neither Agree or Disagree	I feel more connected and included in my community. Disagree
I have more hope for my family/family member's future.	I have more hope for my family/family member's future. Agree	I have more hope for my family/family member's future. Neither Agree or Disagree	I have more hope for my family/family member's future. Disagree

Please provide additional details (optional).

Question Title

* 7. As a result of your involvement with Families Connected, have you done any of the following within the past 12 months?

Advocated for your child/family.

Supported another family.

Attended an advocacy event.

Contacted a legislator, public official, or community leader.

Supported your child/family member to advocate for themselves.

Participated on a community workgroup, committee, or board.

Increased my advocacy activities.

Other (please specify):

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* 8. How do you most often get information from Families Connected?
(Check up to 3 options.)

In person / word of mouth

E-Mail

Telephone calls

Social media (e.g., Facebook, Instagram)

Other (please specify)

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* 9. How would you prefer to get information from Families Connected?
(Check up to 3 options.)

In person / word of mouth

Mail that comes to my home

E-Mail

Telephone calls

Social media (e.g., Facebook, Instagram)

Other (please specify)

Question Title

* 10. Overall, are you satisfied with the information and opportunities that Families Connected provides?

	Satisfied	Neither satisfied nor dissatisfied	Dissatisfied
Overall satisfaction with Families Connected	Overall satisfaction with Families Connected Satisfied	Overall satisfaction with Families Connected Neither satisfied nor dissatisfied	Overall satisfaction with Families Connected Dissatisfied
The amount of information I receive	The amount of information I receive Satisfied	The amount of information I receive Neither satisfied nor dissatisfied	The amount of information I receive Dissatisfied
The types of information I receive	The types of information I receive Satisfied	The types of information I receive Neither satisfied nor dissatisfied	The types of information I receive Dissatisfied
The types of training offered	The types of training offered Satisfied	The types of training offered Neither satisfied nor dissatisfied	The types of training offered Dissatisfied
The support I receive from other families	The support I receive from other families Satisfied	The support I receive from other families Neither satisfied nor dissatisfied	The support I receive from other families Dissatisfied
The degree to which I feel a part of Families Connected	The degree to which I feel a part of Families Connected Satisfied	The degree to which I feel a part of Families Connected Neither satisfied nor dissatisfied	The degree to which I feel a part of Families Connected Dissatisfied
The opportunities to advocate	The opportunities to advocate Satisfied	The opportunities to advocate Neither satisfied nor dissatisfied	The opportunities to advocate Dissatisfied

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* 11. What other information and opportunities could help you to become a stronger advocate for your child or family member?

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* 12. What are some things Families Connected could add, change, or do differently?

The following questions will help Families Connected understand whether it is reaching families from a wide range of cultural and ethnic backgrounds. Your responses will guide Families Connected in improving how it connects with and supports diverse communities.

All information is confidential, will not identify you personally, and will not be shared outside of Families Connected.

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* 13. Optional: How old is your child or family member with a disability?
If you have more than one child with a disability, please check all that apply.

Younger than 5 years

6 to 12 years

13 to 17 years

18 to 26 years

27 to 64 years

65 years or older

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* 14. Optional: What races or ethnicities are represented within your family?
(Please check all that apply.)

White or Caucasian

Black or African American

Hispanic, Latino, or Spanish Origin

Asian

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Choose not to respond

Other (please specify)

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* 15. Optional: What is/are the primary language(s) spoken at home?
(Please check all that apply.)

English

Spanish

Russian

Vietnamese

Haitian

Mam

Other (please specify)

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* 16. Optional: What is your gender? (Select one.)

Female

Male

Non-binary

Prefer to self-describe (please specify):

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* 17. Optional: Does your child or family member receive services from the County Developmental Disabilities Program?

Yes

Not sure

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* 18. Optional: Where does your child or family member with a disability live?

In your family's home

In their own home

In a foster home

In a group home

Other (please specify):

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* 19. Optional: Does your child/family member receive any of the following?
(Check all that apply.)

Free or reduced lunch

Supplemental Nutrition Assistance Program (SNAP) benefits

Temporary Assistance for Needy Families (TANF) benefits

Oregon Health Plan

None of the above

Question Title

* 20. Optional: Are you on a cross-disability coalition, policy board, advisory board, governing body, or serve in a leadership position?

Yes

Thank you for taking the annual Families Connected survey. We appreciate your feedback!

Families Connected Annual Survey for Families

Question Title

* 1. How have you been involved with Families Connected in the past 12 months?

Question Title

* 2. Thinking about when you talk with a representative from Families Connected, attend a activity, or ask for assistance, how much do you agree or disagree with the following statements,

Question Title

* 3. What have you liked most about your involvement with Families Connected?

Question Title

* 4. Check the box if you feel, with the right supports, that your child/family member will:(Check all that apply.)

Question Title

* 5. Because of my involvement with Families Connected over the past 12 months:(Please check all that apply.)

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* 6. Do you agree or disagree with the following statements?Because of my involvement with Families Connected:

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* 7. As a result of your involvement with Families Connected, have you done any of the following within the past 12 months?

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* 8. How do you most often get information from Families Connected?(Check up to 3 options.)

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* 9. How would you prefer to get information from Families Connected?(Check up to 3 options.)

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* 10. Overall, are you satisfied with the information and opportunities that Families Connected provides?

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* 11. What other information and opportunities could help you to become a stronger advocate for your child or family member?

Question Title

* 12. What are some things Families Connected could add, change, or do differently?

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* 13. Optional: How old is your child or family member with a disability? If you have more than one child with a disability, please check all that apply.

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* 14. Optional: What races or ethnicities are represented within your family? (Please check all that apply.)

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* 15. Optional: What is/are the primary language(s) spoken at home? (Please check all that apply.)

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* 16. Optional: What is your gender? (Select one.)

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* 17. Optional: Does your child or family member receive services from the County Developmental Disabilities Program?

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* 18. Optional: Where does your child or family member with a disability live?

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* 19. Optional: Does your child/family member receive any of the following? (Check all that apply.)

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* 20. Optional: Are you on a cross-disability coalition, policy board, advisory board, governing body, or serve in a leadership position?

* 4. Check the box if you feel, with the right supports, that your child/family member will:
(Check all that apply.)

* 5. Because of my involvement with Families Connected over the past 12 months:
(Please check all that apply.)

* 6. Do you agree or disagree with the following statements?
Because of my involvement with Families Connected:

* 8. How do you most often get information from Families Connected?
(Check up to 3 options.)

* 9. How would you prefer to get information from Families Connected?
(Check up to 3 options.)

* 13. Optional: How old is your child or family member with a disability?
If you have more than one child with a disability, please check all that apply.

* 14. Optional: What races or ethnicities are represented within your family?
(Please check all that apply.)

* 15. Optional: What is/are the primary language(s) spoken at home?
(Please check all that apply.)

* 19. Optional: Does your child/family member receive any of the following?
(Check all that apply.)