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Demographics and Service Delivery Survey for School Social Workers and Family Counselors, May 2012
The Student Services Department is conducting a survey about school social work and family counseling services. The survey has three primary objectives: • to assess projected shortages of school social workers and family counselors in the district • to determine what services school social workers and family counselors are/desire to provide • to determine what staff development training is desired Please take a few minutes to complete the following questionnaire by checking your choice or supplying the required information. The survey is anonymous.
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- What is your gender?*
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- What is your ethnic origin? *
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- Are you a member of any of the following professional organizations (check all that apply)?*
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- If you selected "Other" on question 3, please enter organization here
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- How many years have you been employed as a school social worker or family counselor?
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- In which Area of the district are you currently employed?
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- Have you completed the Clinical Educator training required for intern supervision?
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- Have you completed the field supervisory course at one of the local universities?
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- Have you ever served as an intern field supervisor in Broward County?
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- If no, would you be interested in serving as an intern supervisor in the future?
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- What is your native language?
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- If you selected "Other" for language in the question above, please enter selection here.
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- Are you fluent in Sign Language? If Yes, indicate which type(s).
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- If you answered "yes" above, please enter type.
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- Check if you can read fluently in any of the following language(s) (check all that apply).
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- Check if you can write fluently in any of the following language(s) (check all that apply).
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- If you selected "Other" above, write your selection here.
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- Check if you use any of the following language(s) while performing school social work services (check all that apply).
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- If you selected "Other" above, write your selection here.
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- What is the highest degree/certification that you have received?
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- If you answered "Other", please enter Othere Certification here
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- Are you currently hold certification in the Broward County Recognition Program?
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- Do you currently hold a license to practice privately in the state of Florida?
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- If Yes, what state license(s) do you hold (check all that apply)?
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- If you state license was not listed, please enter it here
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- During the 2011-2012 school year, how many times did you serve on a school team doing a Level I or a Level II Threat Assessment?
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- During the 2011-2012 school year, did you serve in a middle or high school that does not employ the district’s Threat Assessment procedures?
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- During the 2011-2012 school year, how many times did you make Attendance Procedures, Typical or Troubled, or Parent Involvement presentations to a school faculty?
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- During the 2011-2012 school year, how many times did you serve on a crisis response team?
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- During the 2011-2012 school year, approximately how frequently did you participate in CPS/RtI team meetings?
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- What was the most frequent problem area under consideration for CPS/RTI?
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- If you answered "Other" above, please enter selection here
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- What are your primary role(s) as a member of the CPS/RTI team (check all that apply)?
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- How effective is the CPS team in handling the requirements of RtI at your schools?
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- During the 2011-2012 school year, approximately how many psychosocial assessments did you complete?
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- During the 2011-2012 school year, approximately how many general education students did you assist through the CPS/RtI process?
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- Right now, how satisfied are you with the profession of school social work /family counseling?
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- How has your job satisfaction changed in the last year? Are you:
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- What factors contribute to your overall feelings of less satisfaction (check all that apply)?
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- If you selected "Other" above, enter selection here
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- Thank you for your participation!
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