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Please take a few minutes to let us know how you used the MCH Leadership Skills Development Series (MCHLDS) and how we can improve it. We will use the information from this form to track usage for the purposes of grant reporting and to guide the development and refinement of resources on this website.

1. For what purpose did you use the MCHLDS?

2. Which components did you use?

(Check all that apply)

Module 1

Module 2

Module 3

Case Study

Video interview clips

Links and documents in the Resources section

3. Please describe how you used the MCHLDS:

Individually

In a group

Combination

Single, short session (less than 2 hours each)

Multiple, short sessions (less than 2 hours each)

Single, longer session (more than 2 hours)

Multiple, longer sessions (more than 2 hours each)

Combination of short and longer sessions

4. If you used the MCHLDS in a group:

A. Who organized and led the training?

Internal staff person

External facilitator

Not applicable

B. Please describe the professional background of the person(s) who led the training.

(Including role/position within your organization, or outside organization if external facilitator)

C. Who participated?

(Check all that apply)

Administrative support staff

Program staff

Program director(s)

Agency director(s)

Family representative(s)

Community group representative(s)/staff

Not applicable

5. Approximately how much time did you spend on preparation and planning for using the MCHLDS?

Less than 2 hours

2 to 5 hours

5 to 10 hours

10 to 15 hours

More than 15 hours

6. What was the direct cost of using the MCHLDS ?

(e.g., reproducing materials, renting room, food, conference calls)

No direct costs

Less than $100

$100 to $500

$500 to $1000

Over $1000

7. Please describe any technological problems you experienced with the MCHLDS website or materials.

8. Were the user instructions clear and effective?

[ Yes ] [ No ]

If NO, please explain:

9. How would you characterize the level of difficulty and complexity of the MCHLDS materials you used?

Basic

Moderate

Advanced

10. Was the level of difficulty and complexity appropriate for your needs?

[ Yes ] [ No ]

If NO, please explain:

11. In what other leadership topics or skills would you be interested in receiving leadership training?

12. What can we do to improve the content of the MCHLDS?

13. What can we do to improve the technical aspects of the MCHLDS?

(e.g., mode of delivery, ease of use of the website)

14. Additional comments: