Form Policy Academy Fol Policy Academy Fol Policy Academy Follow-Up

OMB No. 0930-0316

Expiration Date: XX/XX/XXXX

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Post-Policy Academy Follow-Up

Introduction

Thank you for participating in the inaugural cohort of the Policy Academy. We appreciate any feedback on your experience, including the content and structure of the academy, and the coaches and trainers.

Personal Information

Q1. Participant name:

Q2. Participant email:

Q3. Participant organization:

Experience

Q4. Please describe your overall experience in the Policy Academy.

Q5. Would you recommend the Policy Academy to other coalitions in your network?

• Yes (1)

• No (2)

Q5.1. Why or why not?

Q6. What part of the Policy Academy was most valuable in helping you do alcohol policy work?

Q7. What changes could be made to improve the Policy Academy experience?

Q8. Did you receive training and information in the Policy Academy that you were previously unaware of?

• Yes (1)

• No (2)

Q8.1. Please explain.

Content

Q9. Please rate your level of knowledge related to supporting the adoption of policy.

• Not knowledgeable (1)

• Slightly knowledgeable (2)

• Somewhat knowledgeable (3)

• Very knowledgeable (4)

• Extremely knowledgeable (5)

Q9.1. Did the Policy Academy improve your knowledge of adoption of policy?

• Yes (1)

• No (2)

Q9.2. Why or why not?

Q10. Please rate your confidence level related to supporting the adoption of policy.

• Not confident (1)

• Slightly confident (2)

• Somewhat confident (3)

• Very confident (4)

• Extremely confident (5)

Q10.1. Did the Policy Academy improve your confidence of adoption of policy?

• Yes (1)

• No (2)

Q10.2. Why or why not?

Q11. Please rate your skill level related to supporting the adoption of policy.

• Not skilled (1)

• Slightly skilled (2)

• Somewhat skilled (3)

• Very skilled (4)

• Extremely skilled (5)

Q11.1. Did the Policy Academy improve your skill level of adoption of policy.

• Yes (1)

• No (2)

Q11.2. Why or why not?

Q12. At the start of the Policy Academy, you were asked: " What are you looking to get out of the Policy Academy?"

You responded with: "inserted text from participant’s baseline survey."

Have you accomplished these goals? Why or why not?

Q13. What step in the policy process are you currently on?

• Step 1 – Draft Policy Action Statement

• Step 2 – Engage Compliance Organizations

• Step 3 – Collect Data

• Step 4 – Develop Issue Brief

• Step 5 – Draft Policy Language

• Step 6 – Increase Public Awareness

• Step 7 – Organize and Mobilize Support

• Step 8 – Prepare & Present Policy for Adoption

• Step 9 – Support Implementation & Enforcement

• Step 10 – Evaluate

Q14. What steps in the policy process are you having success with?

Q15. What steps in the policy process are you having challenges with?

Sustainability

Q16. What policies do you hope to apply this process to in the future?

Q17. How do you plan to continuously use the skills and knowledge you have gained?

Q18. Where will you go if you need additional policy support?

Q19. Is there additional training that would be helpful to you as you continue to work through the policy steps?

Q20. Please describe how completing the Policy Academy has advanced your coalition work.

Structure and Coaches

Q21. Was the structure of the coaching calls and training sessions conducive to your learning and better understanding of the policy process?

• Yes

• No

Q21.1. Why or why not?

Q22. Do you believe the coaches provided valuable insight to help improve your knowledge, confidence, and skills?

• Yes (1)

• No (2)

Q22.1. Why or why not?

Community and Partnership

Q23. Have you gained any new partnerships during the Policy Academy?

• Yes

• No

Q23.1. How will these new partnerships improve your organization’s capacity for policy development?

Q24. To what extent has alcohol policy support from members of your community changed since you started the Policy Academy?

Q25. What barriers to the policy process have you faced in your community?

Q26. What barriers to the policy process have you faced from local and state decision makers?

Thank You Page

We thank you for your time spent taking this survey. Your response has been recorded.