1. The consultant responded to my referral in a timely manner. 4

2. The consultants role was clearly explained to me. 4

3. I felt I had a good relationship with the consultant. 4

4. I believe the consultation service was helpful. 4

5. I felt listened to by the consultant. 4

6. The consultant respected my opinions. 4

7. The consultant answered my questions. 4

8. I learned new ways to help children with challenging behaviors. 4

9. The consultation service positively affected the way I relate to children. 3

10. Overall, I am satisfied with the consultation service I recieved. 4

11. I feel the referring situation has improved. 3

12. What is ONE thing youre doing differently because of the consultation service you received?
Give a warning before play time ends. Also, have given the child a squishy toy to hold during group times.

13. Would you recommend this consultation service to other childcare providers? Why or why not?
Yes. The response was quick and the consultant was willing to allow the parent to call her with questions and concerns.

14. How can this consultation service be improved?

15. To be answered by the family: Over the past 30 days, how many days of work or school has the family/caregiver missed due to the challenges a child has experienced while in child care?

16. To be answered by the family: Please rate your stress level related to your child’s challenges at ChildCare(please edit if you like the idea of adding it):

Other comments:
I was very impressed with the consultants' support and help for us and the parents. The parent had felt like a failure and the consultant was kind and supportive to her.

OPTIONAL - Consultants Name:

OPTIONAL - Your Name: