POST SURVEY ONLY Attachment A_Question by Question Source List_COVID-19

POST SURVEY ONLY Attachment A_Question by Question Source List_COVID-19.pdf

COVID-19 POST LEARNING COMMUNITY SURVEY

POST SURVEY ONLY Attachment A_Question by Question Source List_COVID-19

OMB: 0937-0212

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ATTACHMENT A
QUESTION BY QUESTION SOURCE & REASONING TABLE FOR ADVANCING
THE RESPONSE TO COVID-19 LEARNING COMMUNITY MEASURE

Question #

QUESTION BY QUESTION SOURCE LIST AND/OR REASONING FOR THE
COVID-19 LEARNING COMMUNITY POST SURVEY

1

2

Question Text
In which Region do you work?

What is your work area?

3

What are your work interests?

4

What populations do you serve?

5

Please indicate all learning sessions you attended:

B.2

Question
Source/Reasoning
Response will
inform evaluation
summary to
deterime if
location correlates
to answers
provided within
survey.
Response will
inform evaluation
summary to
deterime if work
area correlates to
answers provided
within survey.
Response will
inform evaluation
summary to
deterime if work
interest correlates
to answers
provided within
survey.
Response will
inform evaluation
summary to
deterime if
populations
served correlates
to answers
provided within
survey.
Response will
measure
numberof learning
sessions attended
and if attendance
correlates to
answers provided
within survey.

Question #

6

7

8
9
10

11

12

Question Text
Overall, the learning community was beneficial to me and the
work I do.

Question
Source/Reasoning

Response will
measure perceived
benefit of
member.
The learning community provided valuable information as it
Response will
relates to racial and ethnic minorities and American Indian and
measure perceived
value of
Alaska Native populations
information as it
relates to racial
and ethnic
minorities and
AI/AN
populations.
I gained new knowledge as a result of being part of this learning Adapted from
community.
OMB No. 09900379
The learning community provided valuable networking
Adapted from
opportunities.
OMB No. 09900379
As a result of this learning community, I plan to implement a
Response will
promising practice, program and/or policy designed to address measure plan to
the impacts of COVID-19 in racial and ethnic minority and
implement
American Indian and Alaska Native populations
promising
practice, program,
or policy as a
result of Learning
Community
membership.
As a result of this learning community, I implemented a
Response will
promising practice, program and/or policy designed to address measure amount
the impacts of COVID-19 in racial and ethnic minority and
of implementation
American Indian and Alaska Native populations
of promising
practice, program,
or policy as a
result of Learning
Community
membership.
Please provide any Additional Comments regarding your
Response will
thoughts and experience as a member of the COVID-19 Learning inform evaluation
summary and
Community:
provide insight to
future Learning
Communities
provided by OMH.

B.3


File Typeapplication/pdf
AuthorBCollette
File Modified2021-03-01
File Created2021-03-01

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