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Pre-Post Interagency Collaboration Survey
Using the scale provided, please indicate the extent to which you currently interact with each agency.
Five Levels of Collaboration and Their Characteristics
No interaction (0)
· Not aware of organization
· No interaction that I know of
Networking (1)
· Aware of organization
· Loosely defined roles
· Little communication
· All decisions are made independently
Cooperation (2)
· Provide information to each other
· Somewhat defined roles
· Formal communication
· All decisions are made independently
Coordination (3)
· Share information and resources
· Defined roles
· Frequent communication
· Some shared decision making
Coalition (4)
· Share ideas
· Share resources
· Frequent and prioritized communication
· All members have a vote in decision making
Collaboration (5)
· Members belong to one system
· Frequent communication is characterized by mutual trust
· Consensus is reached on all decisions
1) List your community agencies and organizations (examples provided for starting point)
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My organization |
Not sure |
No interaction |
1 Networking |
2 Cooperating |
3 Coordinating |
4 Coalition |
5 Collaboration |
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Autism Speaks (Autism Society) |
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Chamber of Commerce |
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Community College |
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Community Action Programs |
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County Health Department |
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Department of Health and Human Services |
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Employment Security Office |
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Habilitation Agencies |
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JobLink
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Transportation agencies |
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School District
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School Board
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Social Security Office |
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Related Services Agencies |
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University Extension Office |
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Vocational Rehabilitation |
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