Survey submission for provider – programmatic – 039-002-001

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. 4

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

11. I feel the referring situation has improved. 4

12. What is ONE thing youre doing differently because of the consultation service you received?
Implementing things as SEL skills to better understand and communicate with the kids/age range I care for.

13. Would you recommend this consultation service to other childcare providers? Why or why not?
Yes! My experience with the consultation service was helpful and encouraging. Even simple things like adult interaction (since I live alone and am always with kids) as well as being introduced to new resources through Mrs. Katie : )

14. How can this consultation service be improved?
N/A

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:
Thank you to Emily (my originally contact) and Katie (whom I worked with the longest) for your time, effort, education and support!

OPTIONAL - Consultants Name:

OPTIONAL - Your Name:

Admin Information

Case ID: 5879

Case Title: 039-002-001

Case Type: programmatic

Survey Target: provider

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