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Service Insights Survey
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* Indicates required question
Email
*
Your answer
Your name
*
Your answer
Agency name
*
Your answer
What tool do you currently use for neighbor intake?
*
Paper forms
Spreadsheet or database (Excel, Access, or other computer program)
empowOR
WellSky
PantrySoft
Oasis
None
Other:
What do your distributions look like? (check all that apply)
*
Choice pantry - neighbors come in and choose what they want
Box distribution - neighbors receive a pre-packed box or bag
Delivery - boxes are delivered to neighbors' homes
Drive up/walk-up - boxes are handed to cars as they drive or walk up
Walk in - neighbors walk in to a designated space to receive their food (either box or choice)
Scheduled - distribution happens on a specific day and time
As needed - neighbors can get food either as a walk-in or by appointment
Reservations - neighbors sign up to reserve a spot at a future distribution
Other:
Required
Do you have any computers that could be used to enter data? If so, how many?
*
0
1
2
3+
Ideally how many handheld tablets would your agency need for use in Service Insights data collection?
*
0
1
2
3
more than 3
Do you currently have reliable Wi-Fi internet access in the distribution area?
*
Yes
Yes, but not consistently
No
Would you prefer an online or in-person training?
*
Online
In person
Both
How many volunteers or staff will be using Service Insights for neighbor intake AT ONE TIME?
*
Your answer
How would you describe your current comfort level with implementing the Service Insights platform?
*
Enthusiastic! I'm ready to go and excited!
Ready. I'm willing to get started as soon as possible.
Neutral. I understand it's a necessity.
Worried. I have some concerns, but I'm willing to give it a shot.
Uncomfortable. I would prefer to keep my current system.
I am already collecting this data, and I need to understand how to get it to Care and Share.
What are the primary factors in determining your current comfort level? (check all that apply)
*
Use of technology
Data security & privacy
Possibilities for use of data and reporting
More information about neighbors
Discomfort with asking personal questions
Cost of technology (hardware and software)
Other:
Required
Comments or questions?
Your answer
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