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Lambent Data™️ OurVisit™️ Survey
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For Participants at the July 2019 Early Childhood Innovation Summit
Please enter the following information and provide as much feedback as you feel appropriate. Thanks so much!
1. Your Role/Position
Your answer
2a. Name of Organization for which you work
Your answer
2b. In what state/s, D.C., etc. do you work?
Your answer
Questions 3a-3e are specific for home visitors. If you are not a home visitor, please skip to question 4.
3a. Number of families you visit ("caseload")?
Your answer
3b. How frequently do you visit each family?
2-3 times a week
Weekly
Biweekly
2-3 times a month
Monthly
Other:
Clear selection
3c. How difficult do you find it to arrange for visits? (1 = "very easy" and 10 = "very difficult")
1
2
3
4
5
6
7
8
9
10
Clear selection
3d. How far in advance do you schedule visits?
More than one month
One month
2-3 weeks
1 week
2-5 days
1 day
Less than a day
Clear selection
3e. How often do visit times change?
Never
Rarely
Sometimes
Often
Clear selection
4. What are some challenges that you face in your work?
*
Your answer
5. What are the biggest challenges the families with whom you work face?
*
Your answer
6. What, if any, mobile or online applications do you currently use to assist with your work?
Your answer
7. What did you like most about OurVisit™️? What, if any, concerns do you have?
*
Your answer
8. How much do you think OurVisit™️ could assist with your work? (1 = "do not know", 2 = "not at all" and 10 = "would greatly assist")
*
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2
3
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5
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8
9
10
9. Would you eliminate any features of OurVisit™️? Why or why not?
Your answer
10. Are there any other suggestions you have or improvements that could be made?
Your answer
11. How likely are you to recommend OurVisit™️? (1 = do not know, 2 = least likely and 10 = most likely)
*
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6
7
8
9
10
12a. Your name (optional)
Your answer
12b. Phone number (optional)
Your answer
12c. Email (optional)
Your answer
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