Data Use Self-Assessment Feedback Form
Use this form to send feedback on any aspect of the Data Use Self-Assessment Tool:

1. The tool itself
2. Instructions for use and other supporting documents
3. Comments and suggestions

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Your Name *
Your Email Address *
Please add me to the Data Use Self-Assessment mailing list so that I can get updates about the tool.
Enter the version of the tool. The version appears in the footer of the Data Use Self-Assessment as shown below.
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I work for a
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Feedback on the Data Use Self-Assessment Tool. When referring to specific items, please use the Component, Element and item numbers to assist us (example: Systems 1a).
Feedback on Instructions for Use
Feedback on facilitating use of the tool, whether online or in person
Describe the value of completing the tool provided for your organization. Were you able to formulate next steps?
Comments or Suggestions
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This form was created inside of Sacramento County Office of Education.

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