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Policy Options Family and Youth Services survey
[Opening statement]
Hello my name is ______I am student at Mars Hill College. We are doing a research project for our Sociology of the Family class. Our goal is to create a directory for youth and family services in Madison County. We would like to include your organization in this directory. Am I speaking to the right person to provide information for your organization? [If no, ask to speak to the appropriate person., then re-introduce if necessary.]
Would you be able to do a brief interview about the services your organization provides to Madison County families and youth? [If yes, skip the section below and proceed to the questions. If no, ask about another time or email or snail mail options.]
If you cannot do this interview now, would you have another time I may call so we can conduct this interview? [Schedule a specific time that is most convenient for the informant.]
Would it be more convenient if I sent you a copy of our questionnaire for you to fill out? Would you prefer email or a printed questionnaire by mail? Please give me your (email/snail mail) address. [If they do decide to send information, give them a timeline to send the information back by a certain date.]
Data Questions
Where your organization is located?
How do most people find your services?
Hours available?
What services do you offer? [Break down the services into groups]
Basic needs
Food
Housing
Clothing
Financial/Economic
Emergency cash assistance
Utilities
Grants/loans
Financial counseling
Education
Age range?
Healthcare
-Age range?
Recreation
Age range?
Childcare/eldercare
CJ/legal
Other
Who qualifies for your services?
Is there an application process?
Are there any fees?
Do you provide services on an emergency basis or only during business hours?
Do you provide services for non-English speaking people?
Are your services handicap accessible?
Is your organization listed in any other directories?
How would you like your organization to be listed in our directory? [Get all contact information, address, phone, email, fax]
[Tell them before we create the directory we will send them a copy of their responses to make sure the information is correct and ready for publication and distribution]
Would you help us distribute the directory ?
Are there other organizations that you know of that offer services to Madison County families and youth that you think we should contact?
Name of informant______
Date of interview______
[Give contact information if they have further questions or information to share.]