Service-provider Survey

 

  • Thank you for taking time to complete this survey. Your responses will help the Columbus Marriage Coalition better understand what services are available to support the development and maintenance of healthy marriages and families in central Ohio.
     

  • The following survey should be completed by the primary contact/representative from your organization.
     

  • If you have any questions feel free to contact us

 

 

Q1. Name of Organization:   

 

 

Q2a. Address:   

 

Q2b. Phone number:   

 

 

Q3. Overarching purpose of organization:   

 

 

Q4. Please briefly describe the type of audience you primarily serve:

 

 

Q5. To help us understand the types of services you provide to families, please use the responses below to indicate which of the following services your organization offers.

 

No,

and don't
plan to

No,

but plan to/ interested

Yes,

Therapy
focused

Yes,

Counseling
focused

Yes,

Educational focused
COUPLE FOCUSED          

A. Services for Pre-marital couples

B. Services for Married couples

C. Services for Divorcing couples

D. Services for Remarried couples

           
PARENTING FOCUSED          
E. Services for General Parenting

F. Services for Step-parenting

G. Services for Parenting After Divorce

H. Services for Foster/Adoptive

     Parenting

           
BALANCING ROLES          

I. Services regarding Money

   Management

J. Services regarding Time

    Management

K. Services in balancing work & family

           
OTHER          
L. Services in Building Character 

M. Services regarding Conflict

     Resolution

N. Services regarding Domestic

     Violence

O. Services regarding Anger

     Management

P. Services that are Family Based

     (specify below)

Q. Services that are Youth Related
     Only (specify below)

 

 

R. Please specify other family or youth focused services that you offer but are not listed above.

 

Q6 A. If you indicate above that you provide couple focused
           services, how long have you been offering these services?

MONTHS
   

Q6 B. On average, how many couples would you say that your
           organization serves per year?

 COUPLES

 

 

Next to help us create an accurate understanding of the state of marriage and
family relationships in Ohio, we are interested in your opinions about the
following questions. Please answer as best you can.

 

 

Q7. Would you say that divorce is....

       a serious problem

       not too serious a problem

       not a problem at all

       don't know

 

 

Q8.  Read each of the following statements and use the following scale to indicate your
        level of agreement or disagreement.
 

 

AGREE

DISAGREE

UNDECIDED/
DON'T KNOW

A. When married people realize that they no longer
     love each other, they should get a divorce even
     if they have children.

B. When there are children in the family, parents
     should stay married even if they do not get along.

C. Sure, divorce is bad, but a lousy marriage is
     even  worse.

D. Society would be better off if divorces were
     harder to get.

E. Long waiting periods to get a divorce give people
     time to get over their anger, work out their
     problems, and reconcile.

F. People who have children together ought to be
     married.

G. Too many couples rush into marriage.

H. Young couples focus too much on the
     happiness they expect from marriage and not
     enough on the hard work a successful marriage
     requires.

I.  In marriage you can count on your partner being
    there for you more than you can when you are
    living with someone outside of marriage.

J. It is okay for a man and woman who are not
    married to live together. (when man and woman
    are romantically involved)

K. People who live together before they are
     married are likely to improve their chances for
     a good marriage.

L. These days, couples who live together outside
     of marriage get all the benefits of marriage
     without the legal details.

 

 

 

Q9. In your opinion, how important is it for couples to prepare for marriage through educational
       classes, workshops, or counseling designed to help them get off to a good start?
  This is  important Not at all important Neutral   Don't know/Need more info.

 

 

Q10. When a married couple with children in the home is considering a divorce, how good an
          idea do you think it would be to require marriage counseling or therapy before the divorce
          is granted?

  This would be a good idea This is a bad idea Neutral   Don't know/Need more info.

 

Q11. How do you feel about the idea of a state-wide initiative to promote healthy marriages and
          reduce divorces?

  This would be a good idea This is a bad idea Neutral   Don't know/Need more info.

 

Comment

 

 

Q12. Are you aware of any efforts by churches/synagogues to strengthen marriages and
          reduce divorces in central Ohio?
 

  Yes No Unsure/Don't know Prefer not to answer

 

Comment

 

 

Q13. Are you aware of any efforts by state or county agencies (e.g., Dept. of Health, Dept. of Human Services, or Cooperative Extension Service) to strengthen marriages and reduce divorces in central Ohio?
 

   Yes No

 

Comment

 

 

Q14. Is your organization interested in working with the CMC to support and strengthen marriages?  
 

          Yes        No        Maybe/need more information

 

 

Q15. Are there any persons at your organization who you feel would be good to contact directly
         and who may be interested in working with the CMC? (e.g. volunteering, being an agency
         contact, serving on the Advisory Board) 
        Yes        No

 

If Yes, please give us that person's contact information:

 

Name: 
Phone Number:  E-mail:

 

 

Once you have completed the survey and confirmed that you have responded to each of the questions please click on the submit button below. 


THANK YOU FOR YOUR TIME AND COOPERATION!