CCP Data Forms and Training

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Access data collection forms and survey templates to evaluate your Crisis Counseling Assistance and Training Program (CCP), and learn how to use them.

Crisis counselors are required to document the services they provide. Collecting data on disaster survivors and the services they receive supports ongoing evaluation of your CCP.

Basic Data Collection Forms and Training

There are three basic forms submitted to CCP team leaders after each encounter.

Prior to using the data collection forms, staff should complete the CCP Data Collection Training. The training takes about 50 minutes. The training contains four modules:

  • Module 1 provides an overview of the Individual/Family Encounter Log and the Adult and Child/Youth Assessment and Referral Tool forms. This module is about 20 minutes.
  • Module 2 explains how to complete the Group Encounter Log to capture data on group counseling and public education sessions. This module is about 10 minutes.
  • Module 3 explains how to complete the Weekly Tally Sheet to capture brief encounters, material distribution, and media efforts. This module is about 10 minutes.
  • Module 4 provides an overview of the CCP data collection systems and reviews the data entry process. This module is about 10 minutes.

You may also want to review answers to common questions about CCP data forms in CCP Data Forms: Frequently Asked Questions (PDF | 209 KB).

The basic CCP data collection forms are also available in Spanish.

Assessment and Referral Tools and Training

Service providers also use advanced tools known as Assessment and Referral Tools. Prior to use of these tools, staff should review the Adult Assessment and Referral Tool Guidance (PDF | 120 KB) document.

These forms are also available in Spanish.

Feedback Surveys and Forms

Feedback from disaster survivors and service providers helps grantees improve CCP services in real time and keep program goals on track.

Participant Feedback

Use the Participant Feedback Survey (OMB 2025) (PDF | 320 KB) to collect feedback from disaster survivors who have received CCP services. This survey is also available in Spanish (OMB 2025) (PDF | 265 KB).

Use the following resources to help you collect feedback from CCP participants:

Service Provider Feedback

Use the Service Provider Feedback Form (OMB 2025) (PDF | 380 KB) to collect feedback from CCP crisis counselors. This survey is also available in Spanish (OMB 2025) (PDF | 231 KB).

Use the following resources to help you collect feedback from CCP service providers:

Last Updated: 09/01/2023