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2019 CCUSA Annual Survey Program Detail
Start of Block: Agency Identification and Program Area Selection
Thank you for participating in the 2019 CCUSA Annual Survey. Data collected is used to
illustrate the size, scope, and impact of the Catholic Charities ministry. Any data reported may
be used and disseminated by CCUSA.
Select your Agency Code, Agency Name, and Diocese Name for calendar year 2019. Please
ensure you select the correct agency.
▼ 101 Karidat Chalan Kanoa (1) ... 394 Catholic Charities of New Hampshire Manchester (167)
We want to ensure we have your latest information. Please provide contact information for the
person completing the survey.
o Your Name (1) ________________________________________________
o Your Phone Number (2) ________________________________________________
o Your E-mail (3) ________________________________________________
o Title (4) ________________________________________________
o Agency/Location (5) ________________________________________________
Is there someone in your agency that should review or approve this submission?
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Note: They will receive an automatically generated report.
o No (1)
o Yes (please provide their e-mail address) (2) ________________________________________________
For which program areas do you want to provide additional program detail?
Check all that apply.
▢ Basic needs and emergency assistance (116)
▢ Food and nutrition (117)
▢ Employment, income and self-sufficiency (118)
▢ Permanent affordable housing (119)
▢ Homeless assistance (120)
▢ Disaster response and recovery (121)
▢ Integrated health (122)
▢ Children, youth, and families (125)
▢ Parish social ministry (126)
▢ Volunteer management and long-term service (127)
▢ Refugee and asylum seekers (123)
▢ Immigration legal services (CLINIC and CCUSA joint survey) (124)
End of Block: Agency Identification and Program Area Selection
Start of Block: Basic Needs and Emergency Assistance Program Detail
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Basic Needs and Emergency Assistance Program Detail
Please make sure all boxes are filled. Provide best estimates and enter the number "0" where
applicable, unless otherwise instructed.
Q1 Did your agency provide emergency financial assistance for utilities (e.g. gas, electric, oil,
phone) in 2019?
o Yes (1)
o No (2)
Display This Question:
If Did your agency provide emergency financial assistance for utilities (e.g. gas, electric, oil, ph... = Yes
Q1a How much utility assistance did your agency provide in 2019?
o Number of payments (1) ________________________________________________
o Total dollar amount of payments (2) ________________________________________________
Q2 Did your agency provide emergency financial assistance for rental payments in 2019?
o Yes (1)
o No (2)
Display This Question:
If Did your agency provide emergency financial assistance for rental payments in 2019? = Yes
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Q2a How much rental assistance did your agency provide in 2019?
o Number of payments (1) ________________________________________________
o Total dollar amount of payments (2) ________________________________________________
Display This Question:
If Did your agency provide emergency financial assistance for rental payments in 2019? = Yes
Q3 Did you follow up with clients who received rental assistance payments?
o Yes (1)
o No (2)
Display This Question:
If Did you follow up with clients who received rental assistance payments? = Yes
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Q3a What percentage of clients who received rental assistance remained housed at follow-up?
Percent (%) (1)
After 3 Months (1)
After 6 Months (2)
After 12 Months (3)
After 24 Months (4)
Q4 Did your agency provide any financial assistance other than utility and rental assistance in
2019?
o Yes (1)
o No (2)
Display This Question:
If Did your agency provide any financial assistance other than utility and rental assistance in 2019? = Yes
Q4a How much assistance other than utility and rental assistance did your agency provide in
2019?
o Total dollar amount of payments (4) ________________________________________________
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End of Block: Basic Needs and Emergency Assistance Program Detail
Start of Block: Food and Nutrition Program Detail
Food and Nutrition Program Detail
Please make sure all boxes are filled. Provide best estimates and enter the number "0" where
applicable, unless otherwise instructed.
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Q1 Please report the number of sites, clients, and meals for your prepared meal programs in
2019:
Sites (1) Meals (2) Clients (3)
Congregate dining (1)
Home-delivered meals (2)
Afterschool meals (3)
Child care center meals (4)
Adult day care center meals (5)
Summer lunch program (6)
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Q2 Please report the number of sites and clients for your food distribution programs in 2019:
Sites (1) Clients (2)
Food banks (1)
Food pantries (2)
Other (donated food, SHARE, Second Harvest, food co-ops, voucher, etc.)
(3)
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Q3 Please report the number of sites and clients served by your government bulk food
distribution programs in 2019:
Sites (1) Clients (2)
Summer Food Service Program (SFSP) (1)
Child and Adult Care Food Program (CACFP) (2)
Commodity Supplemental Food Program (CSFP) (3)
The Emergency Food Assistance Program (TEFAP)
(4)
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Q4 Does your agency operate any Feeding America food banks or pantries?
o Yes (4)
o No (5)
Q5 Did your agency assist in completing SNAP applications in 2019?
o Yes (1)
o No (2)
Display This Question:
If Did your agency assist in completing SNAP applications in 2019? = Yes
Q5a How many households did your agency assist in completing SNAP applications in 2019?
________________________________________________________________
Q6 Did your agency offer healthy eating education programming in 2019?
o Yes (27)
o No (28)
Display This Question:
If Did your agency offer healthy eating education programming in 2019? = Yes
Q6a How many people received healthy eating education?
________________________________________________________________
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End of Block: Food and Nutrition Program Detail
Start of Block: Employment, Income and Self-Sufficiency Program Detail
Employment, Income and Self-Sufficiency Program Detail
Please make sure all boxes are filled. Provide best estimates and enter the number "0" where
applicable, unless otherwise instructed.
Q1 Do you use a self-sufficiency matrix (such as the Arizona self-sufficiency matrix) to measure
progress of clients (1=In Crisis – 2=Vulnerable – 3=Safe – 4=Stable – 5=Thriving) in your
comprehensive case management program or other self-sufficiency programs?
o Yes (1)
o No (2)
Display This Question:
If Do you use a self-sufficiency matrix (such as the Arizona self-sufficiency matrix) to measure pro... = Yes
Q1a How many people were enrolled in 2019 in programs for which you used the self-
sufficiency matrix to track progress toward self-sufficiency?
________________________________________________________________
Display This Question:
If Do you use a self-sufficiency matrix (such as the Arizona self-sufficiency matrix) to measure pro... = Yes
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Q1b What percentage reached safety (3) or better (e.g. stability (4), or thriving (5)) at program
discharge on each of the following self-sufficiency dimensions? Leave blank for dimensions
you don't track.
Percent (%) who reached safety(3) or more
(1)
Access to Services (1)
Income (2)
Employment (3)
Education (4)
Housing (5)
Food (6)
Physical Health (7)
Mental Health (8)
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Page Break
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Q2 Did your agency provide employment or workforce development services in 2019?
o Yes (1)
o No (2)
Skip To: Q5 If Did your agency provide employment or workforce development services in 2019? = No
Q2a How many people received employment services from your agency in 2019?
________________________________________________________________
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Q2ai Among the ${Q2a/ChoiceTextEntryValue} that received employment services from your
agency, how many clients transitioned from unemployed to employed in 2019?
Number of clients who secured employment
(1)
Full-time employment (1)
Part-time employment (2)
Q2aii Among the ${Q2a/ChoiceTextEntryValue} that received employment services from your
agency, how many achieved employment advancement (e.g. promotion, higher pay, etc.) in
2019?
________________________________________________________________
Q2aiii Among the ${Q2a/ChoiceTextEntryValue} that received employment services from your
agency in 2019, how many earned an academic certification or credential while in the program?
________________________________________________________________
Q2aiv Among the ${Q2a/ChoiceTextEntryValue} that received employment services from your
agency in 2019, how many earned a vocational certification or credential while in the program?
________________________________________________________________
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Q2av Among the ${Q2a/ChoiceTextEntryValue} that received employment services from your
agency, how many were employed at the following wages?
Number of clients employed at wage (1)
Minimum wage (1)
Living wage (2)
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Q3 Do you have a target wage for clients who receive employment services?
o Yes (1)
o No (2)
Display This Question:
If Doyou have a target wage for clients who receive employment services? = Yes
3a What is the target wage dollars per hour?
________________________________________________________________
Display This Question:
If Doyou have a target wage for clients who receive employment services? = Yes
And And What is the target wage dollars per hour? Text Response Is Not Empty
Q3b What percentage of those that received employment services were employed at your
agency's target wage at discharge?
________________________________________________________________
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Q4 Do you provide vocational training or industry recognized credentials or certificates?
o Yes (1)
o No (2)
Display This Question:
If Do you provide vocational training or industry recognized credentials or certificates? = Yes
Q4a Please list those programs here:
o Program 1 (1) ________________________________________________
o Program 2 (2) ________________________________________________
o Program 3 (3) ________________________________________________
o Program 4 (4) ________________________________________________
o Program 5 (5) ________________________________________________
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Q5 A social enterprise is a positive revenue-generating venture that also advances a social
mission. Social enterprise activities prioritize measurable, positive impact for vulnerable
populations by providing a product or service intended to address an unmet need.
In the Catholic Charities network, social enterprise activities are often focused on employment
education and job skills, but may also include product manufacturing, food services, health
clinics, behavioral health services, legal services, personal care services (e.g. child care, adult
care, respite, etc.), interpretation and translation services, property maintenance,
apprenticeships, thrift stores, and related entrepreneurial support (enterprise incubator, training,
start-up loans).
Does your agency offer any social enterprises?
o Yes (1)
o No (2)
Display This Question:
If A social enterprise is a positive revenue-generating venture that also advances a social mission.... = Yes
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Q5a Please provide the following information for each social enterprise your agency operates.
Name/Activity (1) Total Annual Revenue (2)
Activity-generated Revenue (fees,
sales, 3rd-party-pay, etc.) (3)
Social Enterprise 1 (104)
Social Enterprise 2 (105)
Social Enterprise 3 (106)
Social Enterprise 4 (107)
Social Enterprise 5 (108)
End of Block: Employment, Income and Self-Sufficiency Program Detail
Start of Block: Permanent Affordable Housing Program Detail
Permanent Affordable Housing Program Detail
Please make sure all boxes are filled. Provide best estimates and enter the number "0" where
applicable, unless otherwise instructed.
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Note: For the purposes of this survey, 'affordable housing' is defined as affordable to persons
earning less than 80% of area median income (AMI).
Q1 Permanent housing is housing for which there is no time limit on how long you can reside in
the housing or receive the housing assistance. Please indicate the number of total
permanent housing units occupied or available for occupancy by type of dwelling. Include all
units that are developed, owned, and master-leased by your agency:
Single room occupancy (e.g. efficiency, studio, micro-unit, etc.) : _______ (1)
Multifamily dwellings : _______ (2)
Single family dwellings : _______ (3)
Boarding homes, rooming houses, or group homes : _______ (8)
Manufactured or mobile homes : _______ (9)
Other (Please specify) : _______ (10)
Total : ________
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Q2 You reported that your agency had ${Q1/TotalSum} permanent affordable housing units in
2019. Please complete the following breakdown of total units and people served by
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population. Include all units that are developed, owned, and master-leased by your
agency:
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Total units (1) People served (2)
Families (Q2_1)
Persons with special needs (Q2_2)
Senior or age-restricted (Q137_9)
Formerly homeless individuals and families
(Q137_10)
Veterans (Q137_11)
Pregnant women (Q2_13)
Transition-age youth (Q2_14)
Other (Please specify) (Q137_12)
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Total
Page Break
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Q3 Which of the following apply to your entire portfolio of housing projects?
Please select all that apply.
▢ Market rate housing (1)
▢ Affordable housing (i.e. for families, seniors, special needs persons) (2)
▢ Residents using tenant-based subsidized housing vouchers (3)
▢ Project-based subsidized housing (4)
▢ Assisted living housing (e.g. nursing homes, long-term care facilities, special care facilities) (5)
▢ ⊗None of these (6)
Q4 What is the total unduplicated number of households on waiting lists for permanent housing
units?
o Number of households (1) ________________________________________________
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Q5 This question applies to your affordable real estate development pipeline. Does your agency
have any affordable housing units authorized for construction (i.e. received building permits) or
under construction?
o Yes (1)
o No (2)
o I don't know (3)
Display This Question:
If This question applies to your affordable real estate development pipeline. Does your agency have... = Yes
Q5a You've indicated that your agency has permanent housing units authorized for
construction. Please provide the following information regarding these housing units:
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Total projects (1) Total units (2)
Families (Q5a_1)
Persons with special needs (Q5a_2)
Seniors or age-restricted (Q5a_3)
Formerly homeless individuals and families
(Q5a_4)
Veterans (Q5a_5)
Pregnant women (Q5a_7)
Transition-age youth (Q5a_8)
Other (please specify) (Q5a_6)
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End of Block: Permanent Affordable Housing Program Detail
Start of Block: Homelessness Assistance Program Detail
Homelessness Assistance Program Detail Questions
Please make sure all boxes are filled. Provide best estimates and enter the number "0" where
applicable, unless otherwise instructed.
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Q1 How many year-round beds does your agency provide of the following types for serving
homeless and formerly homeless individuals? How many people did you serve with those beds
in 2019?
Total beds (1) Total people served (2)
Emergency shelter (1)
Safe haven (2)
Transitional housing (3)
Permanent supportive housing (4)
Rapid re-housing (5)
Other temporary housing (6)
Other permanent housing (7)
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Q2 In 2019, what percentage of clients were discharged from emergency shelters, safe havens
and transitional housing to permanent housing? Leave blank if this is not something that you
track.
o % Discharged (1) ________________________________________________
Q3 Do you track housing status of clients after discharge from emergency shelters, safe havens
and transitional housing?
o Yes (1)
o No (2)
Display This Question:
If Do you track housing status of clients after discharge from emergency shelters, safe havens and t... = Yes
Q3a In 2019, what percentage of clients discharged from emergency shelters, safe havens and
transitional housing remained housed at follow-up?
Percent (%) (1)
After 3 Months (8)
After 6 Months (9)
After 12 Months (10)
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End of Block: Homelessness Assistance Program Detail
Start of Block: Integrated Health Program Detail
Integrated Health Program Detail
Please make sure all boxes are filled. Provide best estimates and enter the number "0" where
applicable, unless otherwise instructed.
Q1 In 2019, how many clients did your agency service who were participating in the following
insurance programs?
CHIP : _______ (1)
Medicaid : _______ (2)
Medicare : _______ (3)
Unknown : _______ (4)
Other health program (Please specify) : _______ (5)
Total : ________
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Q2 In what ways does your agency partner with health systems and/or hospitals? Select all that
apply.
▢ Reducing hospital readmissions (1)
▢ Crisis support (2)
▢ Respite (3)
▢ Emergency room care (4)
▢ Discharge planning (5)
▢ Community needs assessment (6)
▢ Other (Please specify) (7) ________________________________________________
▢ ⊗We do not partner with health systems and/or hospitals (8)
Q3 Does your agency use a validated scale to measure changes in symptoms or functioning of
behavioral/mental health clients? If yes, please list which scale(s).
o Yes (1) ________________________________________________
o No (2)
Display This Question:
If Does your agency use a validated scale to measure changes in symptoms or functioning of behaviora... = Yes
Q3a What percentage of your tested clients demonstrated an increase in functioning as a result
of treatment in 2019?
________________________________________________________________
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Q4 What percentage of your clients were connected to a primary care provider in 2019?
________________________________________________________________
Page Break
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Q5 Does your agency utilize an electronic health or medical record? If yes, please list which
system(s).
o Yes (1) ________________________________________________
o No (2)
Q6 Please list your agency's national quality accreditations for healthcare programs:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Q7 Which of the following translation services does your agency provide for its health-related
programs? Check all that apply.
▢ In-person or phone translation services for clients (1)
▢ Translated written materials for clients (2)
End of Block: Integrated Health Program Detail
Start of Block: Child, Youth, and Family Services Program Detail
Children, Youth, and Families Program Detail
Please make sure all boxes are filled. Provide best estimates and enter the number "0" where
applicable, unless otherwise instructed.
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Q1 What is the unduplicated count of pregnancy clients served at your agency in 2019?
Under age 18 (1) Age 18 and older (2)
Single pregnant women (1)
Single birth fathers (2)
Families (3)
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Q2 How many clients were served in fatherhood involvement programs in 2019?
o # Clients (1) ________________________________________________
o Unsure/ We do not track this (3)
o Our agency does not offer father involvement programs or services (4)
Q3 How many clients were served in Project Rachel or other post-abortion ministry programs in
2019?
o # Clients (1) ________________________________________________
o Unsure / We do not track this (2)
o Our agency does not offer post-abortion programs or services (3)
Q4 What is the total number of adoptions completed by your agency in 2019?
o # Adoptions (4) ________________________________________________
o Unsure / We do not track this (5)
o Our agency did not complete any adoptions (6)
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Q4a Of the ${Q4/ChoiceTextEntryValue} completed adoptions, how many were for the specific
populations below?
Infants (excluding special needs) : _______ (1)
Special needs children : _______ (2)
Inter-country adoption : _______ (3)
Adoptions from foster care : _______ (4)
Other (Please specify) : _______ (5)
Total : ________
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Q5 Please complete the following breakdown of total clients assisted with foster care services in
2019.
Youth (under 18) : _______ (7)
Young adults in care (18-21) : _______ (8)
Foster/kinship care parents : _______ (9)
Birth parents : _______ (10)
Other (Please specify) : _______ (11)
Total : ________
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5a How many foster care youth obtained permanency in 2019?
________________________________________________________________
Q6 How many youth transitioning from foster care did your agency serve with after care
services in 2019?
o # Clients (1) ________________________________________________
o Unsure / We do not track this (2)
o We do not offer after-care programs or services for transitional youth (3)
End of Block: Child, Youth, and Family Services Program Detail
Start of Block: Disaster Response and Recovery Program Detail
Disaster Response and Recovery Program Detail
Please make sure all boxes are filled. Provide best estimates and enter the number "0" where
applicable, unless otherwise instructed.
Q1 Did your agency respond to any disaster in 2019?
o Yes (1)
o No (2)
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Q2 Please indicate the type of disaster services your agency provided in 2019. Select all that
apply.
▢ Short-term response or relief services (1)
▢ Long-term response services (2)
Q3 Did your agency receive any funding other than CCUSA Disaster Grant funding for any
disaster services you provided in 2019?
Your answer will not impact your ability to receive future CCUSA Disaster Grant funding.
o Yes (approximate amount in dollars) (1) ________________________________________________
o No (2)
o I don't know (3)
Display This Question:
If Did your agency receive any funding other than CCUSA Disaster Grant funding for any disaster serv... = Yes (approximate amount in dollars)
Q3a In 2019, did your agency receive state or federal funding to provide disaster services?
o Yes (1)
o No (2)
Display This Question:
If In 2019, did your agency receive state or federal funding to provide disaster services? = Yes
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Q3ai Which services did your agency provide as part of your participation in a state or federally
funded program? Please select all that apply.
▢ Disaster Case Management (DCM) (1)
▢ Community Development Block Grant-Disaster Relief (CDBG-DR) (2)
▢ Crisis counseling or other mental health services (3)
▢ Other (Please specify) (4) ________________________________________________
Q4 In 2019, did your agency participate in a disaster case management program, either as a
provider or management agency?
o Yes, as a provider (20)
o Yes, as a manager (23)
o No (21)
o I don't know (22)
Display This Question:
If In 2019, did your agency participate in a disaster case management program, either as a provider... = Yes, as a provider
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Q4a Please report on the cases you initiated and closed as a part of your agency's participation
in disaster case management program:
Number of Cases (1)
Cases opened (1)
Cases closed with recovery plan fully or partially met (2)
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Q5 Which of the following dedicated resources does your agency have access to for providing
disaster services?
Please select all that apply.
▢ ⊗No dedicated resources for disaster services (117)
▢ Agency/Diocesan Reserve funds (118)
▢ 2nd Collection funds (119)
▢ External financial donations and/or financial resources (120)
▢ In-kind donations (121)
▢ Full-time or part-time staff dedicated to disaster services (122)
▢ Volunteers (123)
▢ Local parish engagement (126)
▢ Other (Please specify) (127) ________________________________________________
Q6 Is your agency part of a local/regional VOAD (Volunteer Organizations Active in Disaster)
group?
o Yes, as a leader (1)
o Yes, as a member (2)
o No (3)
o I don't know (4)
End of Block: Disaster Response and Recovery Program Detail
Start of Block: Parish Social Ministry
Parish Social Ministry Program Detail
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Please make sure all boxes are filled. Provide best estimates and enter the number "0" where
applicable, unless otherwise instructed.
Q1 How many parishes are in your diocese?
________________________________________________________________
Page Break
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Q1a Of the ${Q1/ChoiceTextEntryValue} parishes in your diocese...
o How many parishes does your agency collaborate with to serve your community? (1) ________________________________________________
o How many parishes have paid staff dedicated to Parish Social ministry? (2) ________________________________________________
Q2 How many clients were referred to your agency by parishes in 2019?
________________________________________________________________
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Q3 What services did your agency provide at parishes in 2019? Check all that apply.
▢ Financial assistance (1)
▢ Case management (2)
▢ Substance use treatment (3)
▢ Aging services (4)
▢ Disaster response (5)
▢ Social enterprise (6)
▢ Professional counseling (7)
▢ Legal consultation (8)
▢ Education classes (GED, parenting, financial literacy, etc.) (9)
▢ Food pantry/soup kitchen (10)
▢ Health screenings (11)
▢ Clothing closet (12)
▢ Housing and homelessness services (13)
▢ Respite (14)
▢ Childcare (15)
▢ ⊗I don't know (16)
▢ ⊗None (17)
▢ Other (Please specify) (18) ________________________________________________
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Q4 Did your agency give funds to parishes to support ministry in 2019?
o Yes (1)
o No (2)
Page Break
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Display This Question:
If Did your agency give funds to parishes to support ministry in 2019? = Yes
Q4a Please provide the total dollar amount dispersed by your agency to support parish
ministers with the following activities in 2019.
To start a new parish service ministry : _______ (1)
To expand the capacity of a parish service ministry to serve more people : _______ (2)
To fund/sustain something in particular for a parish service ministry (furniture, appliances,
materials, etc.) : _______ (3)
To recognize a particular staff member or parishioner : _______ (4)
Other (Please specify) : _______ (5)
Total : ________
Q5 Did your agency receive PSM-related funds or in-kind donations in 2019?
o Yes (1)
o No (2)
Skip To: Q6 If Did your agency receive PSM-related funds or in-kind donations in 2019? = No
Q5a Please provide the total dollar amount value of PSM-related donations received in 2019.
o Financial donations (1) ________________________________________________
o In-kind donations (2) ________________________________________________
Q5b Please list all sources of PSM-related donations in 2019 (e.g. parishes, diocese,
community foundations, etc.)
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
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Q6 Did your agency obtain volunteers from parishes in 2019?
o Yes (1)
o No (2)
Page Break
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Display This Question:
If Did your agency obtain volunteers from parishes in 2019? = Yes
Q6a How many volunteers and respective hours did your agency obtain from parishes in 2019?
o Total volunteers (1) ________________________________________________
o Total volunteer hours (2) ________________________________________________
Q7 How many parishioners or parish-based staff did your agency train in 2019?
o # Parishioners or parish-based staff (1) ________________________________________________
o Unsure / We do not track this (2)
o Our agency did not train parishioners or parish-based staff in 2019 (3)
Page Break
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Display This Question:
If How many parishioners or parish-based staff did your agency train in 2019? = # Parishioners or parish-based staff
Or How many parishioners or parish-based staff did your agency train in 2019? = Unsure / We do not track this
Q7a What topics were parishioners or parish-based staff trained on?
________________________________________________________________
Q8 Does your agency coordinate legislative advocacy with parishes?
o Yes (1)
o No (2)
Page Break
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Display This Question:
If Does your agency coordinate legislative advocacy with parishes? = Yes
Q8a Please provide the following breakdown of legislative advocacy activities coordinated by
your agency with local parishes in 2019.
o Letters to political leaders and/or representatives (1) ________________________________________________
o Legislative action alerts sent to parishioners (2) ________________________________________________
o Visit to legislators (3) ________________________________________________
o Invitations to legislators to visit ministries (4) ________________________________________________
Q9 What performance measures related to Parish Social Ministry does your agency collect data
on?
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
End of Block: Parish Social Ministry
Start of Block: Volunteer Management and Long-Term Service
Volunteer Management and Long-Term Service Program Detail
Please make sure all boxes are filled. Provide best estimates and enter the number "0" where
applicable, unless otherwise instructed.
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Q1 Volunteers are unpaid staff who contribute services to Catholic Charities. How many people
volunteered at your agency in 2019?
________________________________________________________________
Q2 What is the total number of hours these volunteers spent engaged in volunteer work in
2019?
________________________________________________________________
Page Break
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Q3 You've indicated that your agency had ${Q1/ChoiceTextEntryValue} volunteers for a total
of ${Q2/ChoiceTextEntryValue} hours in 2019. Please provide a breakdown of the number of
volunteers and estimated volunteer hours in 2019 for the following age groups.
Youth (under
18) (1) Adults (18-65)
(2) Seniors (65+)
(3) Unknown (4)
Number of Volunteers (1)
Total volunteer hours (2)
Page Break
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Q4 You've indicated that your agency had ${Q1/ChoiceTextEntryValue} volunteers for a total
of ${Q2/ChoiceTextEntryValue} hours in 2019. Please provide a breakdown of the number of
volunteers and estimated volunteer hours in 2019 for the following volunteer staffing structures.
Full-time (40+
hours/week) (1) Part-time (15-40 hours/week) (2)
Less than part-time (under 15 hours/week) (3)
Unknown (4)
Number of volunteers (1)
Total volunteer hours (2)
Q5 Does your agency offer or participate in long-term service opportunities (e.g., AmeriCorps,
Senior Corps, etc.)?
o Yes (1)
o No (2)
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Display This Question:
If Does your agency offer or participate in long-term service opportunities (e.g., AmeriCorps, Senio... = Yes
Q5a Please provide a breakdown of the number of members and estimated hours of service for
your agency's AmeriCorps programs in 2019.
National Community Civilian Core (NCCC)
(1)
Volunteers in Service to America (VISTA)
(2) State/National (3)
Number of members (1)
Total hours served (2)
Display This Question:
If Does your agency offer or participate in long-term service opportunities (e.g., AmeriCorps, Senio... = Yes
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Q5b Please provide a breakdown of the number of members and estimated hours of service for
your agency's Senior Corps programs in 2019.
Senior Companion Program (SCP) (1)
Foster Grandparent Program (FGP) (2)
Retired and Senior Volunteer Program
(RSVP) (3)
Number of members (1)
Total hours served (2)
Display This Question:
If Does your agency offer or participate in long-term service opportunities (e.g., AmeriCorps, Senio... = Yes
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Q5c Please provide a breakdown of the number of members and estimated hours of service for
your agency's non-CNCS funded long-term service programs in 2019.
Number of members (1) Total hours served (2)
Jesuit Volunteer Corps (1)
Ignatius Volunteer Corps (2)
Other (Please specify) (4)
Total
End of Block: Volunteer Management and Long-Term Service
Start of Block: Refugee and Asylum Seeker Services Program Detail
Refugee and Asylum Seeker Services Program Detail
Please make sure all boxes are filled. Provide best estimates and enter the number "0" where
applicable, unless otherwise instructed.
Q1 Did your agency participate in the reception and placement program via USCCB/MRS in
2019?
Note that reception and placement refers to a federally-funded program that provides
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resettlement agencies with assistance meeting expenses during a refugee's first 90 days in the
United States.
o Yes (1)
o No (2)
Skip To: Q3 If Did your agency participate in the reception and placement program via USCCB/MRS in 2019? Note th... = No
Display This Question:
If Did your agency participate in the reception and placement program via USCCB/MRS in 2019? Note th... = Yes
Q1a How many refugees were assigned for resettlement by your agency in 2019?
________________________________________________________________
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Q1ai Of the ${Q1a/ChoiceTextEntryValue} refugees assigned for resettlement by your agency in
2019, how many were employable adult refugees?
________________________________________________________________
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Q1aii Of the ${Q1ai/ChoiceTextEntryValue} employable adult refugees assigned for
resettlement in 2019, how many received employment services?
________________________________________________________________
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Q1aiii Among the ${Q1aii/ChoiceTextEntryValue} employable refugee adults who were served
in 2019, how many entered employment during the resettlement period?
________________________________________________________________
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Q1aiv Among the ${Q1aiii/ChoiceTextEntryValue} employable refugee adults who entered
employment in 2019, how many refugees remain employed in a job 90 days after employment
entry?
________________________________________________________________
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Q2 What was the hourly wage of refugees entering full-time employment?
________________________________________________________________
Q3 Did your agency participate in the match grant program via USCCB/MRS in 2019?
o Yes (1)
o No (2)
Display This Question:
If Did your agency participate in the match grant program via USCCB/MRS in 2019? = Yes
Q3a How many individuals received match grant funding in 2019?
________________________________________________________________
Q4 Does your agency provide resettlement or integration services other than 1) reception and
placement and 2) match grant to refugees in your community?
o Yes (1)
o No (2)
Display This Question:
If Does your agency provide resettlement or integration services other than 1) reception and placeme... = Yes
Q4a How many previously resettled refugees did your agency service in 2019?
________________________________________________________________
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Q5 Did your agency provide any shelter or respite services to newly arriving asylum seekers in
2019?
o Yes (1)
o No (2)
Display This Question:
If Did your agency provide any shelter or respite services to newly arriving asylum seekers in 2019? = Yes
Q5a Approximately how many asylum seekers did your agency serve in 2019?
________________________________________________________________
Q6 Which of the following other programs did your agency participate in 2019? Please check all
that apply.
▢ Preferred Communities (3)
▢ Anti-Trafficking Program (4)
▢ Parishes Organized to Welcome Immigrants and Refugees (5)
▢ Unaccompanied Alien Children (UAC) Foster Care Program (6)
▢ Unaccompanied Refugee MInors (URM) Foster Care Program (7)
▢ Family Reunification Program (8)
▢ ⊗None of these (9)
End of Block: Refugee and Asylum Seeker Services Program Detail
Start of Block: Immigration Legal Services
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When you click the arrow button, you will be redirected to the CLINIC and CCUSA joint survey
of immigration legal services. Both organizations request that all immigration legal service
providers, regardless of CLINIC affiliation, complete the survey; Results will be shared between
organizations. Please contact the following for questions:
Ashley Rininger, Research Analyst - Catholic Charities USA
Sharon Burns, Measurement, Learning, and Evaluation Manager - Catholic Legal Immigration
Network
End of Block: Immigration Legal Services