FIGURE 20

Centre Planning Questionnaire

Child Abuse Coordinating Council City/Region: _______________________________________

YOUR NAME:

_______________________________________

The Centre for the Prevention of Child Abuse would like to gel your assessment of its activities and resources to help in future planning. Rate the importance to you of the Centre activities below by showing how you would allocate ten dollars (0 to 10 dollars per item).

  1. Hands on materials such as the Babysitting Package.

               

  1. Back up and technical resources (films, books, pamphlets) on child abuse.

             

  1. Direct support from Field Consultants.

             

  1. Funding to assist Coordinating Committee in its work.

             

  1. Education and training for Coordinating Committee members (national conference, interdisciplinary training).

             

  1. Advocacy for Provincial activities about child abuse.

               

TOTAL =

$10

 

To help us understand your weighting of the importance of the above activities please tell us the following:

1.

Number of people on your coordinating committee? 

_____

2.

How many times has the committee met in the past 12 months? 

_____

3.

For how many years have you been a committee member?

_____
4.

Are you familiar with the Centre Babysitting program Can you Baby-sit Tonight?
No  Yes 

5.

5.  Does your coordinating committee have any plans to make use of the Babysitting Program? Don't know,  No,  Yes.  
If yes, briefly describe the plans (continue on back). ________________

6.

List the IPCA conferences and training programs you have attended, if any. ________________________________________________________

7. Please describe your contact, if any, with your IPCA Field Consultant? 
_________________________ _______________________________
8.

How helpful has the work of your field Consultant been? (circle one)
little ————— a bit ————— some ————— a lot ————— a great deal

9.

How much impact do you think your Coordinating Committee has had in your community?
little ————— a bit ————— some ————— a lot ————— a great deal

10. How well is your Coordinating Committee known by the Human Ser-vices in your community (Police, School Board, Children's Programs)?
little ————— a bit ————— some ————— a lot ————— a great deal