<p> QUALITY SCALE SURVEY</p><p>Name: Affiliate:</p><p>When interviewing affiliates across the state, the following 10 tips were listed as successful family recruitment techniques.</p><p>For each item identified below, circle the number to the right that best fits your judgment of its implementation. Use the rating scale to select the quality number where one equals poor and five equals excellent.</p><p>Survey Item Scale Post-Permanency services are featured prominently on affiliate website and social media postings, including Facebook 1 2 3 4 5</p><p>Post-Permanency brochures are placed at all outreach events (For example: matching events, awareness events) 1 2 3 4 5</p><p>Communicates and coordinates with county CYS office (For example: Intake department, Kinship department, support groups) 1 2 3 4 5</p><p>Communicates and coordinates with county mental health office 1 2 3 4 5</p><p>Distributes brochures/information to local community locations (For Example: pediatricians, MH providers, family-based providers, residential treatment facilities, intellectual disabilities office, office of 1 2 3 4 5 aging)</p><p>Post-Permanency services are included in agency newsletters and other regular publications 1 2 3 4 5</p><p>Collaborates with other agencies to provide services to families (For Example: county assistance office, juvenile probation, private 1 2 3 4 5 adoption agencies/attorneys, schools)</p><p>Incorporates kinship families (For example: grandparents’ groups) 1 2 3 4 5</p><p>Incorporates SPLC/PLC families 1 2 3 4 5</p><p>Informs families in the matching process of Post-Permanency services 1 2 3 4 5 Total Multiply Total by 2 Your Grade A=90-100, B=80-90, C=70-80, D=60-70, F=59 or below</p>