COCAP Member Satisfaction Survey

We welcome your feedback on how well the California Ovarian Cancer Awareness Program (COCAP) is doing. Please answer the following questions about your participation with COCAP. Your responses will be kept anonymous and confidential. We also appreciate any additional comments you may have. Results of this questionnaire will assist us in making future decisions about COCAP, the Core Planning Group and the mini-grant program. Thank you for your participation!

1. Please identify the level of your involvement with COCAP (Please respond to all that apply):   COCAP Partner (Please complete Section 1) How long have you participated as a COCAP Partner?                  Year(s)     Month(s)   COCAP Core Planning Group (Please complete Section 2) How long have you participated as a COCAP CPG Member?       Year(s)     Month(s)   COCAP Mini-grant Awardee (Please complete Section 3)
Section 1: COCAP Partner Feedback
	Very Dissatisfied	Somewhat Dissatisfied	Undecided	Somewhat Satisfied	Very Satisfied	N/A
Receiving information about COCAP and partner activities
Ability to communicate with COCAP staff
Information available on the COCAP website
Opportunities to participate with COCAP activities
Clarity of the COCAP vision and direction
Strength and competence of the COCAP staff
Receiving information from the California Dialogue on Cancer list serve
Additional Comments:
Section 2. Your Satisfaction with the COCAP Core Planning Group
	Very Dissatisfied	Somewhat Dissatisfied	Undecided	Somewhat Satisfied	Very Satisfied	N/A
Diversity of CPG membership
Willingness to welcome and include new CPG members
What the meetings/teleconference calls accomplished
Outcomes and accomplishments of the CPG's activities such as the mini-grant program
How well the CPG's activities and outcomes met your expectations
How well the overall goals of COCAP are being achieved through the CPG's activities
Your personal or agency involvement in CPG activities
Information specific to the CPG available on the COCAP website
Additional Comments:
Section 3. Mini-Grant Awardee Feedback
	Very Dissatisfied	Somewhat Dissatisfied	Undecided	Somewhat Satisfied	Very Satisfied	N/A
Application Instructions
Timeline of completing and submitting the application
Timeliness of award response
Feedback regarding your application
COCAP staff assistance with project
Usefulness of awardee conference calls
Frequency of awardee conference calls
Length of awardee conference calls
Opportunity to collaborate with other awardees
Preliminary or final results of project
Final report requirements
Additional Comments:
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