Page 1 of 2

Network Survey Form

Author: P. Brandt

Date: 2003

Constructs: Formal and Informal Sources of Support

Standardized: Not Specified

Instrument Two-Part Survey

Type(s):

Uses of The NET survey provides insight into community resources available, accessible, and
Information: taken advantage of by families. Not only is this survey appropriate for measuring the
resources during pre- and post intervention/treatment of parents whose families are
considered to be at-risk, it can also serve as a training instrument. This is accomplished
by helping individuals navigate among and utilize different and appropriate community
and personal resources as a means for managing and reducing stressful events in their
lives.

Environment: Not Specified, but flexible.

Description: This useful two-part survey lets you look at the amount and quality of both the personal
(family, friends, neighbors, coworkers) and professional (agencies, self-help groups, etc.)
support available to your client. The Network Survey goes beyond simply gathering
information about the type, amount and quality of supportive people in one's network by
including the degree of helpfulness, whether the relationship is reciprocal and the
amount of trouble the supportive person is to the client. (source http://www.ncast.org/p-
environment.asp)

References: http://www.ncast.org/p-environment.asp

Cost: Network Survey Manual (.25lb)

English: $7.00
Network Survey Form (1.25lbs)
English : $18.00 @ 100/pad

Availability of Ordering: telephone, e-mail or on the Web. For mail or fax, you can download a printable
Test Manual copy of our order form.
Payments: check, Visa/Mastercard
http://www.ncast.org/ordering.asp

Contact Info: NCAST-AVENUW

Ph: 206-543-8528
Fax: 206-685-3284
ncast@u.washington.edu
http://www.ncast.org/contact.asp

FRIENDS National Resource Center February 2006

 Page 2 of 2

Utility

Instructions: The manual contains background materials, information on how to use the survey and
how to interpret it. The NET form contains instructions on how to complete the items as
either a self-report or interview.

Administrator: Professional

Qualification: Nurse, social worker, educator

Training None
Required:

Administration Not Specified

Time:

Respondents: Parents of infants and young children.

Scales/Item For specific information, call 206-543-8528.

Options

Scoring: See Manual

Languages: English

Psychometric The CLSS is a component of NCAST Personal Environment Assessment scales. It is

Properties: considered to be an instrument that provides reliable information pertaining to an
individual, his/her family and environment. Specific reliability information about this
survey is not available.

Source for the annotation was the FRIENDS National Resource Center, http://www.friendsnrc.org/

FRIENDS National Resource Center February 2006