DCS-5: Semi-annual Progress Report

PERFORMANCE PROGRESS REPORT

Office of Family Assistance

Healthy Marriage and Responsible Fatherhood Grant Program

REPORT TEMPLATE FOR HEALTHY MARRIAGE PROGRAMS

OMB Control No.: xxxx-xxxx

Expiration Date: xx/xx/xxxx

Information from the semi-annual ACF performance progress report (PPR) will be used by the Office of Family Assistance to meet grants management requirements and by grantees themselves to self-monitor progress and challenges (continuous quality improvement). Semi-annual progress reports are due within 30 days of the end of each 6-month reporting period, which are:

• Reporting Period 1: October 1 – March 31; Report Due: April 30

• Reporting Period 2: April 1 – September 30; Report Due: October 31

The PPR consists of the following four parts, with both qualitative and quantitative descriptions of program performance:

Part 1: ACF-OGM-SF-PPR Cover Page found at https://www.acf.hhs.gov/sites/default/files/assets/acf_ogm_ppr.pdf

Part 2: Appendix B – Qualitative (narrative) description of program indicators:

B-01 Performance Narrative

B-02 Major Activities and Accomplishments

B-03 Problems (Challenges)

B-04 Significant Findings and Events

B-05 Dissemination Activities

B-06 Other Activities

B-07 Activities Planned for the Next Reporting Period

B-08 Selected Participant Outcomes

Part 3: Appendix C – Quantitative (numeric) performance measures:

C-01 Recruitment

C-02 Applicant Characteristics

C-03 Program Enrollment

C-04 Program Participation

C-05 Quality Assurance and Monitoring (Continuous Quality Improvement)

C-06 Referrals

C-07 Implementation Challenges

C-08 Marketing

C-09 Participant Outcomes

9.1 Adults

9.2 Youth

Part 4: Federal Financial Report (FFR) SF-425 found at http://www.acf.hhs.gov/sites/default/files/assets/SF-425.pdf

Please address each reporting area. Once you complete the PPR packet, upload it, along with the ACF-OGM-SF-PPR Cover Page, as a Grant Note in GrantSolutions. Please contact your OFA Federal Program Specialist for additional guidance.

THE PAPERWORK REDUCTION ACT OF 1995

Public reporting burden for this collection of information is estimated to average 180 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The information requested in this survey will be used to document how programs receiving HMRF grant funding operate and describe participant outcomes. The data gathered will allow ACF to better monitor grantee progress and performance. In accordance with the requirements of the Privacy Act of 1974, as amended (5 U.S.C. 552a), ACF/OPRE established system of records titled: 09-80-0361 OPRE Research and Evaluation Project Records, HHS/ACF/OPRE. A Federal Register Notice (80 FR 17893) announced the system.

Part 1: ACF-OGM-SF-PPR Cover Page

Part 2: Appendix B – PROGRAM INDICATORS

B-01 PERFORMANCE NARRATIVE

Please provide details on the following questions about your program and services.

1. Target population

Please provide a detailed description of your target population.

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2. Program services

Please provide a detailed description of the following:

• Program components, including workshops and case management

• Curriculum, including name, length, and format

• Type, frequency, and purpose of individual-level contacts with participants

• Program supports, such as gas cards or bus tokens to get to workshops

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3. Job and Career Advancement

Please provide a detailed description of the following:

• Describe the employment services offered to participants in need of employment.

• Provide a list of employment partners (including those that provide subsidized and unsubsidized jobs) and their roles and responsibilities. Also indicate whether each partner has a memorandum of understanding with the grantee.

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4. Programs with Subsidized Employment Elements

If employment subsidies are provided, please provide detailed descriptions to the following:

• Policies, procedures, and requirements for placing participants in subsidized employment

• The process used by employment specialists to identify and create employment opportunities.

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5. Staffing

Please provide a list of program key staff with roles and responsibilities.

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6. Organizational/Program Partners

Please provide a list of program partners (specify those with MOUs) and their roles and responsibilities for program implementation.

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7. Other

Please provide any other details on performance that you think are relevant for this reporting period.

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B-02 MAJOR ACTIVITIES & ACCOMPLISHMENTS

Describe major programmatic and operational activities and accomplishments during this reporting period in the topical areas shown below.

1. Recruitment methods and strategies

Please provide a detailed description of your recruitment strategies and approaches, including any changes, during this reporting period.

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2. Recruitment performance measures

Please review the performance measures in Appendix C-01. Is there anything else you would like to share about the recruitment methods?

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3. Program intake and applicant characteristics

Please describe your program’s intake process and when an applicant is considered “enrolled” in your program.

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4. Applicant characteristics performance measures

Please review the performance measures in Appendix C-02. Is there anything else you would like to share about the characteristics of program applicants this reporting period?

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5. Program enrollment

Please describe your program’s progress toward meeting enrollment targets. If you are not meeting your enrollment targets, please describe challenges you are experiencing and plans to address them.

In the space provided below, please describe:

• The degree to which you are enrolling your intended target population.

• If you are not meeting your enrollment targets, please describe challenges you are experiencing and plans to address them.

• If you are exceeding your target, please describe what you think is contributing to your success—including both program-related and contextual (i.e., non-program-related) factors.

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6. Screening for Intimate Partner Violence

Please describe whether and how applicants are screened for intimate partner violence.

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7. Process for handling disclosures of intimate partner violence (IPV)

Please indicate whether the grantee has a written plan to respond to possible disclosures of IPV. If yes, please provide a copy with the report due on April 30th.

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8. Program enrollment performance measures

Please review the performance measures in Appendix C-03. Is there anything else you would like to share about program enrollment or IPV screening this reporting period?

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9. Program participation

In the space provided below, please describe:

Enrollment:

• Strategies planned or being implemented to engage program enrollees in services within two weeks of program enrollment.

• Reasons why program initiation is lower than expected or desired, if relevant. Consider program-related factors (e.g., workshop schedule) as well as non-program-related (contextual) factors (e.g., client barriers to participation). Describe your current or planned efforts to increase program initiation.

• Reasons why program initiation is higher than expected, if relevant. Consider program-related and non-program-related (contextual) factors. Identify any promising practices you think may be contributing to your success in getting enrollees to begin services.

Retention:

• Strategies planned or being implemented to ensure program enrollees complete the workshops in which they have enrolled, and that they receive as many individual service contacts as necessary.

• Reasons why program retention is lower than expected or desired, if relevant. Consider program-related factors as well as non-program-related (contextual) factors. Describe your current or planned efforts to increase program retention.

• Reasons why program retention is higher than expected, if relevant. Consider program-related and non-program-related (contextual) factors. Identify any promising practices you think may be contributing to your success in getting participants to regularly attend and complete program services.

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10. Program participation performance measures

Please review the performance measures in Appendix C-04. Is there anything else you would like to share about program participation this reporting period?

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11. Quality assurance and monitoring (continuous quality improvement)

Please provide a detailed description of your plans for program quality assurance and monitoring, including training and supervision.

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12. Quality assurance and monitoring (continuous quality improvement) performance measures

Please review the performance measures in Appendix C-05. Is there anything else you would like to share about your activities this reporting period to ensure program quality?

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13. Staff Training

In the space provided below, please describe the trainings that staff received.

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14. Referrals

In the space provided below, please provide a detailed description of your process for follow-up with participants referred for services.

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15. Referral performance measures

Please review the performance measures in Appendix C-06. Is there anything else you would like to share about referrals this reporting period?

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16. Local program evaluation

Please describe activities and accomplishments pertaining to the design and execution of your local program evaluation.

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17. Other

Please describe other activities and accomplishments during the reporting period.

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B-03 PROBLEMS (CHALLENGES)

Describe challenges encountered implementing your program during this reporting period. Describe any current or expected deviations or departures from the original project plan, including actual/anticipated slippage in task completion dates, and special problems encountered or expected. Use this section to advise your Federal Program Specialist and Grants Management Specialist of assistance needs.

1. Implementation challenges performance measures

Please review the performance measures in Appendix C-07. For any challenge categorized as “somewhat of a problem” or “a serious problem,” please describe the nature of the problem and any proposed solutions.

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2. Staff turnover

Please describe any positions that are currently vacant and your plan to fill each vacancy.

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3. Technical assistance needs

Describe any guidance or technical assistance you would like to help address current or anticipated challenges.

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B-04 SIGNIFICANT FINDINGS & EVENTS In the table provided below, please list and briefly describe any significant findings and events that occurred this reporting period. Topics may include innovative strategies or promising practices in areas such as: Program staffing Marketing, outreach, and recruitment strategies Achieving enrollment targets How to get enrollees to show up to their first service How to retain participants in program services and ensure they complete all workshop sessions Service delivery structure and sequencing Workshop format(s) Quality assurance and monitoring of program operations (continuous quality improvement) Ensuring staff enter service delivery data accurately, in a timely fashion, and in a manner that protects privacy Designing or executing your local program evaluation When possible, please use data to substantiate your findings.
Finding or Event	Description
Blank	Blank
Blank	Blank
Blank	Blank
Blank	Blank

B-05 DISSEMINATION ACTIVITIES

In the space provided below, please describe your program’s marketing and dissemination activities. Additionally, please itemize your efforts and include copies of any newspaper, newsletter, magazine articles, or other published materials relevant to your project’s activities, or used for marketing purposes.

Marketing performance measures

Please review the performance measures in Appendix C-08. Is there anything else you would like to share about dissemination activities this reporting period?

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B-06 OTHER ACTIVITIES

In the space provided below, please describe other activities that are a part of your program. Please indicate whether the program activity is supported by the OFA grant, another funding source, or provided in-kind through another source (if applicable, please name the source).

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B-07 ACTIVITIES PLANNED FOR NEXT REPORTING PERIOD In the table provided below, please list please list the key activities you plan to engage in over the next six months, and a general timeline for completion. Activities may be related to: Staffing Marketing, outreach, and recruitment Program enrollment Engaging participants in their first program service Retaining participants in program services Service delivery Quality assurance and monitoring program operations (continuous quality improvement) Data collection and data entry Program evaluation
Planned Activity	Timeline
Blank	Blank
Blank	Blank
Blank	Blank
Blank	Blank

B-08 SELECTED PARTICIPANT OUTCOMES

Please review the performance measures in Appendix C-09. Is there anything else you would like to share about program participants’ outcomes this reporting period?

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Part 3: Appendix C – PERFORMANCE MEASURES

C-01 RECRUITMENT

1. Recruitment methods used during the reporting period	Blank
Phone or mail outreach	Blank
Street outreach	Blank
Referrals from community agencies	Blank
On-site recruitment at community agencies	Blank
Other (Please specify: _________________________)	Blank

2. Agencies and organizations that provided referrals during the reporting period	Blank
Hospitals, maternity clinics, doctors’ offices	Blank
Schools	Blank
Places of worship or faith-based community center	Blank
Child support agencies (voluntary enrollment)	Blank
Child support agencies (court ordered to enroll in a program like this)	Blank
Employment assistance centers or one-stops	Blank
TANF offices	Blank
WIC agencies	Blank
Head Start	Blank
Healthy Start	Blank
Child welfare agencies (voluntary enrollment)	Blank
Child welfare agencies (court ordered to enroll in a program like this)	Blank
Probation and parole	Blank
Other community agencies or organizations	Blank
Self-referrals	Blank
Other (Please specify: _________________________)	Blank

3. FTE staff dedicated to recruitment during the reporting period	Number of staff
< 0.5 FTE	Blank
0.5 to 0.9 FTE	Blank
1 to 1.4 FTE	Blank
1.5 to 1.9 FTE	Blank
2 to 2.4 FTE	Blank
2.5 to 2.9 FTE	Blank
3 or more FTE	Blank

4. Program applicants (during the reporting period) who reported hearing about the program through each source	Percent of applicantsa
Word of mouth (friends, family, acquaintances)	Blank
Newspaper ad, billboards, or a flyer	Blank
Radio ad or a TV spot	Blank
Internet ad or social media such as Facebook, Twitter	Blank
Government agency, such as the Office of Child Support Enforcement, TANF, WIC, Child Welfare (CPS), parole/probation office, other agency	Blank
Community organization, such as a school, hospital, maternity clinic, doctor’s office, place of worship, Head Start, or Healthy Start center	Blank
Program staff or program	Blank
Other	Blank

5. Primary reason applicant chose to enroll in the program	Percent of applicants
To learn about being a better parent	Blank
To learn how to improve my personal relationships	Blank
To find a job or a better job	Blank
Friends were coming	Blank
Spouse/partner asked them to come	Blank
Parole/probation officer told them to enroll in a program like this	Blank
A court ordered them to enroll in a program like this	Blank
Child support staff suggested they enroll in a program like this	Blank
Child welfare staff suggested they enroll in a program like this	Blank
Other	Blank

^a Applicants may provide multiple responses, so total may exceed 100 percent.

C-02 Applicant Characteristics

1. Demographic Characteristics	Percent of applicants
1. Sex (male)	Blank
2. Age	Blank
Under 18 years	Blank
18-20 years	Blank
21 – 24 years	Blank
25 – 34 years	Blank
35 – 44 years	Blank
45 – 54 years	Blank
55 – 64 years	Blank
65 years or older	Blank
3. Grade (for programs serving youth)	Blank
Less than 9th grade	Blank
9th grade	Blank
10th grade	Blank
11th grade	Blank
12th grade	Blank
College	Blank
4. Race	Blank
American Indian or Alaska Native	Blank
Asian	Blank
Black or African-American	Blank
Native Hawaiian or other Pacific Islander	Blank
White	Blank
Other	Blank
5. Hispanic or Latino	Blank
6. English is primary language	Blank

^a Applicants may provide multiple responses, so total may exceed 100 percent.

2. Economic Stability	Percent of applicants
1. Educational Attainment	Blank
No degree or diploma	Blank
High school diploma	Blank
GED	Blank
Schooling beyond high school	Blank
2. Employment Statusa	Blank
Full-time employed	Blank
Part-time employment	Blank
Employed but number of hours changes	Blank
Temporary, occasional, or seasonal employment, or odd jobs for pay	Blank
Not currently employed	Blank
Actively looking for work	Blank
Retired	Blank
Disabled	Blank
In school full or part time	Blank
3. Receipt of assistance in the past month by anyone in the household	Blank
Temporary Assistance for Needy Families (TANF)	Blank
Supplemental Security Income (SSI)	Blank
Social Security Disability Insurance (SSDI)	Blank
Supplemental Nutrition Assistance Program (SNAP)/Food stamps	Blank
Women, Infants, and Children (WIC)	Blank
Unemployment insurance	Blank
Housing choice voucher (sometimes called Section 8)	Blank
Cash assistance	Blank
Child support	Blank
Other	Blank

^a Response options are not mutually exclusive, so total may exceed 100 percent.

3. Family Structure	Percent of applicants
1. Marital status	Blank
Married	Blank
Engaged	Blank
Separated	Blank
Divorced	Blank
Never married	Blank
Widowed	Blank
2. Non-marital partner status	Blank
No current partner	Blank
Involved with someone on a steady basis	Blank
Involved in an on-again and off-again relationship	Blank
3. Living arrangement with partner	Blank
All of the time	Blank
Most of the time	Blank
Some of the time	Blank
None of the time	Blank
4. Applicant or partner is pregnant	Blank
5. Average number of total children younger than 21 years (not including pregnancy)	Blank
6. Average number of biological or adopted children (not including pregnancy)	Blank
7. Average number of biological or adopted children who live with applicant all or most of the time	Blank
8. Foster care status (youth under 21 only)	Blank
Never been in foster care	Blank
Left foster care over 6 months ago	Blank
Recently (in the past 6 months) left foster care	Blank
Currently in foster care	Blank
Not sure

Characteristics, at Beginning of Program, of Adult Couple and Individual Clients

4. Relationships/Marriage

Outcome	Average score	Range	Number of respondents
Attitudes about marriage	Blank	Blank	Blank
Believes that it is better for children if parents are married	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank
Believes that living together is the same as being married	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank
Conflict management (only those with a partner)	Blank	Blank	Blank
Negative conflict management skills (5-item scale)	Blank	5 – 20	Blank
Satisfaction with how conflict with partner is handled	Blank	1 (very satisfied) to 3 (not at all satisfied)	Blank

5. Parenting

Outcome	Average score	Range	Number of respondents
Nurturing parentinga	Blank	Blank	Blank
Tries to comfort child when she/he is upset	Blank	1 (never) to 4 (often)	Blank
Spends time with child doing what he/she likes to do	Blank	1 (never) to 4 (often)	Blank
Disciplinea	Blank	Blank	Blank
Talks about what child did wrong	Blank	1 (never) to 4 (every day or almost every day)	Blank
Hits, spanks, grabs, or uses physical punishment	Blank	1 (never) to 4 (every day or almost every day)	Blank
Yells, shouts, or screams at child when he/she is mad at him/her	Blank	1 (never) to 4 (every day or almost every day)	Blank
Co-parenting	Blank	Blank	Blank
Works well with co-parent in parenting child	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank

^a Responses averaged across respondent’s two youngest children, if applicable

6. Economic Stability

Outcome	Average score	Range	Number of respondents
Willing to work	Blank	Blank	Blank
Would like to get a job	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank
Would like to get a better job	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank

Characteristics, at Beginning of Program, of Youth Clients

7. Marriage and relationship attitudes

Outcome	Average score	Range	Number of respondents
Marriage beliefs	Blank	Blank	Blank
Believes that marriages are happy or unhappy and not much will change that	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank
Believes that in happy marriages, do not need to work on relationship	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank
Attitudes about intimate partner violence	Blank	Blank	Blank
Believes that violence is sometimes only way to express feelings	Blank	1 (strongly disagree) to 4 (strongly agree)	Blank
Believes that it’s okay to stay in a relationship in which person is afraid of partner	Blank	1 (strongly disagree) to 4 (strongly agree)	Blank

8. Attitudes about sex

Outcome	Average score	Range	Number of respondents
Believes that people in love do not need to use condoms or birth control	Blank	1 (strongly disagree) to 4 (strongly agree)	Blank
Would find it hard to say “no” if boyfriend/girlfriend pressured for sex	Blank	1 (strongly disagree) to 4 (strongly agree)	Blank

9. Current relationship

Outcome	Average score	Range	Number of respondents
Boyfriend/girlfriend insults or criticizes respondent’s ideas	Blank	1 (none of the time) to 5 (all of the time)	Blank
During disagreements respondent throws or hits something	Blank	1 (none of the time) to 5 (all of the time)	Blank

10. Parenting

Outcome	Average score	Range	Number of respondents
Discipline (if live with child)	Blank	Blank	Blank
Talks about what child did wrong	Blank	1 (never) to 4 (every day or almost every day)	Blank
Hits, spanks, grabs, or uses physical punishment	Blank	1 (never) to 4 (every day or almost every day)	Blank
Yells, shouts, or screams at child because mad at him/her	Blank	1 (never) to 4 (every day or almost every day)	Blank
Frequency saw child in past month (if do not live with child)	Blank	Blank	Blank
Every day or almost every day (%)	Blank	0–100	Blank
One to three times a week (%)	Blank	0–100	Blank
One to three times a month (%)	Blank	0–100	Blank
Did not see child in past month (%)	Blank	0–100	Blank

C-03 Program Enrollment

1. Screening for Intimate Partner Violence (IPV)

Blank	Applicants Screened for IPV
Blank	#	%
Number and proportion of applicants screened for intimate partner violence	Blank	Blank

2. Enrollment targets and actual enrollment

Blank	Number of Adult Couples	Number of Adult Individuals	Number of Youth
Enrollment target for current grant year	Blank	Blank	Blank
Actual number enrolled since beginning of current grant year to end of reporting period	Blank	Blank	Blank
% of grant-year target met to date	Blank	Blank	Blank
Enrollment target for reporting period	Blank	Blank	Blank
Actual number enrolled during reporting period	Blank	Blank	Blank
% of reporting period target met	Blank	Blank	Blank

C-04 PARTICIPATION

1. Initial Participation

Blank	Number of Adult Couples	Number of Adult Individuals	Number of Youth
Enrolled since beginning of current grant year to end of reporting period only those with at least 2 months since enrollment)	Blank	Blank	Blank

Blank	Adult Couples		Adult Individuals		Youth
Blank	#	%	#	%	#	%
Participated in their first program service (workshop or individual service contact) during the time period shown
Within 1 week of program enrollment
Between 2 and 4 weeks of program enrollment
Between 1 and 2 months of program enrollment
More than 2 months since program enrollment
Not yet engaged in a service
Participated in their first workshop during the time period shown
Within 1 week of program enrollment
Between 2 and 4 weeks of program enrollment
Between 1 and 2 months of program enrollment
More than 2 months since program enrollment
Not yet engaged in a service

2. Attendance at Workshops

Users will query nFORM to generate a table that reports on participation in the specific activities offered by the grantee, for the specific target population it serves. The data for this nFORM-generated table will derive from responses to questions in the three programmatic tiers below.

Tier 1	Tier 2	Tier 3
Population Served	Workshop Activity	Workshop Element
select ONE 1  Youth 2  Adult Individual 3  Adult Couple	select ONE 1  Education in High School 2  Premarital Education 3  Marriage and Relationship Skills Education 4  Marriage Enhancement 5  Divorce Reduction 6  Marriage Mentoring	select all that apply 1  Financial management 2  Parenting 3  Conflict Resolution 4  Job and Career Advancement

Example of nFORM-Generated Table on Participation:

Adult Couples receiving Divorce Reduction (element: Conflict Resolution ONLY)

Options selected: Adult Couples Divorce Reduction Conflict Resolution ONLY	ADULT COUPLES
	#	%
Workshop Attendance
Attended at least one Divorce Reduction workshop, with conflict resolution
Workshop Retention
Did not attend any Divorce Reduction workshop hours with conflict resolution
Attended 1 to 24 percent of all Divorce Reduction workshop hours, with conflict resolution
Attended 25 to 49 percent of all Divorce Reduction workshop hours, with conflict resolution
Attended 50 to 74 percent of all Divorce Reduction workshop hours, with conflict resolution
Attended 75 to 99 percent of all Divorce Reduction workshop hours, with conflict resolution
Attended 100 percent of all Divorce Reduction workshop hours

3. Participation in individual service contacts

Blank	Adult Couples		Adult Individuals		Youth
Number of individual service contacts participants received during reporting period	#	%	#	%	#	%
No individual service contacts
One to four individual service contacts
Five to eight individual service contacts
More than 8 individual service contacts
Average number of individual service contacts

C-05 Quality Assurance and Monitoring (continuous quality improvement)

1. Staff Training

a. Training in Curricula	Proportion of Staff that Received Training in Curriculum
During the reporting period, approximately what proportion of the following types of staff received training in the program curricula?	None	Fewer than half	Half	More than half	All
Facilitators
Case Managers
Employment specialists
Supervisors
Program managers
Other program staff

b. Staff Development Training	Proportion of Staff that Received On-the-job Training
During the reporting period, approximately what proportion of staff received on-the job training?	None	Fewer than half	Half	More than half	All
Facilitators
Case Managers
Employment specialists
Supervisors
Program managers
Other program staff

2. Frequency of direct observation

Blank	Proportion of Workshops Observed
For the two types of facilitators shown below, what proportion of their workshops was observed by a supervisor or another experienced facilitator during the reporting period?	None	Fewer than half	Half	More than half	All
Facilitators hired during the reporting period
Experienced facilitators

3. Staff Supervision

Blank	Frequency of Meetings with Supervisors
During the reporting period, on average, how often did the following types of staff meet with their supervisors one-on-one?	At least weekly	Biweekly	Monthly	Once	Not during reporting period
Facilitators
Case workers
Employment specialists
Supervisors
Program managers
Other program staff

4. Caseloads

Blank	Average
Average number of participants assigned to each case worker

C-06 REFERRALS

Blank	Adult Couples		Adult Individuals		Youth
Blank	#	%	#	%	#	%
Number of referrals participants received during reporting period
No referrals
One to four referrals
Five to eight referrals
More than 8 referrals
Average number of referrals
Number of participants who followed-up on referrals (of those who received at least one referral)
Did not follow up on any referrals
Followed up on at least 50 percent referrals received
Unknown

C-07 Implementation Challenges

1. Common implementation challenges

Challenge	Not a Problem	Somewhat a problem	A serious problem
Obtaining referrals from community organizations	1 	2 	3 
Participant recruitment	1 	2 	3 
Enrolling the intended target population	1 	2 	3 
Getting enrollees to start participating in services	1 	2 	3 
Getting enrollees to attend regularly	1 	2 	3 
Keeping participants engaged during sessions	1 	2 	3 
Getting enrollees to complete the program	1 	2 	3 
Recruiting qualified staff	1 	2 	3 
Staff performance	1 	2 	3 
Ensuring facilitators understand content	1 	2 	3 
Covering all program content in the time allotted	1 	2 	3 
Implementing curriculum with fidelity	1 	2 	3 
Program facilities	1 	2 	3 
Cooperation of recruitment and referral sources	1 	2 	3 
Service delivery partners	1 	2 	3 
Extreme weather or natural disasters	1 	2 	3 
Getting participants to complete pretest or posttest	1 	2 	3 
Other: __________________________________	1 	2 	3 

2. Staff turnover challenges

Staff who left or were removed from their position during the reporting period	Proportion of Staff Who Turned Over
	None	Fewer than Half	Half	More than half
Facilitators	Blank	Blank	Blank	Blank
Case workers	Blank	Blank	Blank	Blank
Employment specialists	Blank	Blank	Blank	Blank
Supervisors	Blank	Blank	Blank	Blank
Program managers	Blank	Blank	Blank	Blank
Other	Blank	Blank	Blank	Blank

C-08 Marketing

Advertising purchased, donated, or conducted during the reporting period	Blank
Newspaper ads	Blank
TV spots	Blank
Billboards, including those on public transportation or bus stop (that is, bench ads)	Blank
Radio ad or announcement	Blank
Internet ads	Blank
Social marketing (such as Facebook, Twitter )	Blank
Theater ads	Blank
Flyers	Blank
Presentations to program partners or community organization leaders or staff	Blank
Word of mouth	Blank
Other (Please specify: _________________________)	Blank

C-09 Participant Outcomes

1. Characteristics, at Program Exit, of Adult Couple and Individual Clients

A. Relationships/Marriage

Outcome	Average posttest score	Range	Number of respondents
Attitudes about marriage	Blank	Blank	Blank
Believes that it is better for children if parents are married	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank
Believes that living together is the same as being married	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank
Relationship status (%)	Blank	Blank	Blank
Married	Blank	0 – 100	Blank
Engaged	Blank	0 – 100	Blank
Separated	Blank	0 – 100	Blank
Divorced	Blank	0 – 100	Blank
Widowed	Blank	0 – 100	Blank
Never married	Blank	0 – 100	Blank
Conflict management (only those with a partner)	Blank	Blank	Blank
Negative conflict management skills (5-item scale)	Blank	5 – 20	Blank
Positive conflict management skills (7-item scale)	Blank	7 – 28	Blank
Satisfaction with how conflict with partner is handled	Blank	1 (very satisfied) to 3 (not at all satisfied)	Blank
Commitment to marriage (only those who are married)	Blank	Blank	Blank
View marriage as lifelong	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank

B. Parenting

Outcome	Average posttest score	Range	Number of respondents
Nurturing parentinga	Blank	Blank	Blank
Happy being with child	Blank	1 (never) to 4 (often)	Blank
Feels very close to child	Blank	1 (never) to 4 (often)	Blank
Tries to comfort child when she/he is upset	Blank	1 (never) to 4 (often)	Blank
Spends time with child doing what he/she likes to do	Blank	1 (never) to 4 (often)	Blank
Disciplinea	Blank	Blank	Blank
Talks about what child did wrong	Blank	1 (never) to 4 (every day or almost every day)	Blank
Hits, spanks, grabs, or uses physical punishment	Blank	1 (never) to 4 (every day or almost every day)	Blank
Yells, shouts, or screams at child when he/she is mad at him/her	Blank	1 (never) to 4 (every day or almost every day)	Blank
Co-parenting	Blank	Blank	Blank
Works well with co-parent in parenting child	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank
Perceived improvements in parenting and co-parenting	Blank	Blank	Blank
Feels more confident in parenting skills since attending program	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank

^a Responses averaged across respondent’s two youngest children, if applicable

C. Economic Stability

Outcome	Average posttest score	Range	Number of respondents
Willing to work	Blank	Blank	Blank
Would like to get a job	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank
Would like to get a better job	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank
Current employment status (%)	Blank	Blank	Blank
Full-time employment (usually work 35 hours or more a week)	Blank	0–100	Blank
Part-time employment (usually work 1 – 34 hours a week)	Blank	0–100	Blank
Employed, but hours vary	Blank	0–100	Blank
Temporary, occasional, or seasonal employment, or odd jobs for pay	Blank	0–100	Blank
Not currently employed	Blank	0–100	Blank
Actively looking for work	Blank	0–100	Blank
Retired	Blank	0–100	Blank
Disabled	Blank	0–100	Blank
In school full or part time	Blank	0–100	Blank
Employment stability	Blank	Blank	Blank
Length of time in current job	Blank	To be determined	Blank
Perceived improvements in money management	Blank	Blank	Blank
Knows how to handle money and bills better since attending program	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank

D. Program Perceptions

Outcome	Percent reporting	Range	Number of respondents
Program helped a lot (%)	Blank	0–100	Blank
Program help some (%)	Blank	0–100	Blank
Program helped not at all (%)	Blank	0–100	Blank

2. Characteristics, at Program Exit, of Youth Clients

A. Marriage and relationship attitudes

Outcome	Average posttest score	Range	Number of respondents
Marriage beliefs	Blank	Blank	Blank
Believes that marriages are happy or unhappy and not much will change that	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank
Believes that in happy marriages, do not need to work on relationship	Blank	1 (strongly agree) to 4 (strongly disagree)	Blank
Expectations	Blank	Blank	Blank
Expect to be married to one person for life	Blank	1 (almost no chance) to 5 (almost certain chance)	Blank
Expect to live with boyfriend/girlfriend without being married	Blank	1 (almost no chance) to 5 (almost certain chance)	Blank
Expect to have a child without being married	Blank	1 (almost no chance) to 5 (almost certain chance)	Blank
Attitudes about intimate partner violence	Blank	Blank	Blank
Believes that violence is sometimes only way to express feelings	Blank	1 (strongly disagree) to 4 (strongly agree)	Blank
Believes that it’s okay to stay in a relationship in which person is afraid of partner	Blank	1 (strongly disagree) to 4 (strongly agree)	Blank
Ended unhealthy relationship	Blank	Blank	Blank
Ended emotionally unhealthy or abusive relationship since attending program (%)	Blank	0 – 100	Blank
Ended physically unhealthy or abusive relationship since attending program (%)	Blank	0 – 100	Blank

B. Attitudes about sex

Outcome	Average posttest score	Range	Number of respondents
Believes that people in love do not need to use condoms or birth control	Blank	1 (strongly disagree) to 4 (strongly agree)	Blank
Would find it hard to say “no” if boyfriend/girlfriend pressured for sex	Blank	1 (strongly disagree) to 4 (strongly agree)	Blank

C. Current relationship

Outcome	Average posttest score	Range	Number of respondents
Boyfriend/girlfriend insults or criticizes respondent’s ideas	Blank	1 (none of the time) to 5 (all of the time)	Blank
During disagreements respondent throws or hits something	Blank	1 (none of the time) to 5 (all of the time)	Blank

D. Parenting

Outcome	Average posttest score	Range	Number of respondents
Nurturing parenting (if live with child)	Blank	Blank	Blank
Happy being with child	Blank	1 (never) to 4 (often)	Blank
Feels very close to child	Blank	1 (never) to 4 (often)	Blank
Tries to comfort child when she/he is upset	Blank	1 (never) to 4 (often)	Blank
Spends time with child doing what he/she likes to do	Blank	1 (never) to 4 (often)	Blank
Discipline (if live with child)	Blank	Blank	Blank
Talks about what child did wrong	Blank	1 (never) to 4 (every day or almost every day)	Blank
Hits, spanks, grabs, or uses physical punishment	Blank	1 (never) to 4 (every day or almost every day)	Blank
Yells, shouts, or screams at child because mad at him/her	Blank	1 (never) to 4 (every day or almost every day)	Blank
Frequency saw child in past month (if do not live with child)	Blank	Blank	Blank
Every day or almost every day (%)	Blank	0–100	Blank
One to three times a week (%)	Blank	0–100	Blank
One to three times a month (%)	Blank	0–100	Blank
Did not see child in past month (%)	Blank	0–100	Blank

E. Program perceptions

Outcome	Percent reporting	Range	Number of respondents
Program helped a lot (%)	Blank	0–100	Blank
Program help some (%)	Blank	0–100	Blank
Program helped not at all (%)	Blank	0–100	Blank

Part 4: Federal Financial Report

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