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In which county is the administrative office for your agency located?
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If other than the primary county, what counties are served by your agency?
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Name of person completing this survey:
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| Does your agency currently have an electronic data collection system? [by electronic data collection system, we mean a database or other computerized system for capturing information about client services. Some examples include R-Client, Crisis Management System, ALICE, or a database system designed by or for your agency.]
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If you answered "no" to the above question, please tell us some of the reasons why you don't have an electronic data collection system.
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| If you answered "yes" to the above question, please
please provide a brief description of the software your program/agency uses for data collection. Please give us 1) the name, 2) whether it's a database or web-based application, 3) how long you've had it, 4) how much it costs including the yearly maintenance fee, 5) whether you like it, and any other information you'd like to share about it:
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If you have used other electronic data collection systems in the past, what were they and why did you change?
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How many staff members does your agency have?
(Enter numbers only!) |
How many full-time staff members have regular and routine access to a computer?
(Enter numbers only!) |
How many part-time staff members have regular and routine access to a computer?
(Enter numbers only!) |
| How many staff members have routine and regular access to e-mail?
(Enter numbers only!) |
How many computers does your agency have?
(Enter numbers only!)
Please include all desktop and laptop computers in your calculations. |
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How many of the computers are less than 1 year old?
(Enter numbers only!)
How many of the computers are between 1 and 3 years old?
(Enter numbers only!)
How many of the computers are 4 to 5 years old?
(Enter numbers only!)
How many of the computers are more than 5 years old?
(Enter numbers only!) |
| For the following questions, please select the answer that applies to the majority of the computers owned by your agency.
What size monitors do most of the computers in your agency have?
What operating system is utilized by most of the computers in your agency?
(please specify)
Do all of the computers in your agency have Internet access?
If no, how many computers have Internet access?
(Enter numbers only!)
What type of Internet connection does your site have?
Who is your Internet Service Provider?
What type of Internet browser does your agency use?
If you answered "other" for browser type, please specify?
Who manages the computers and networks for your programs/agency? (as defined)
Where do you get help when a computer problem arises? (Who is the primary or first contact?)
On average, would you describe your staff as:
How comfortable is your staff using the Internet?
How much does your agency spend per year on the following? (Enter numbers only!)
Software $
Computers/Monitors $
Storage media (discs, CDs ect.) $
Internet and/or Network connectivity $
Printers $
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Please include any other information about your agency's computer system that you would like to share with us at this time.
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