Satisfaction Survey Results
1. The consultant responded to my referral in a timely manner.
3
2. The consultants role was clearly explained to me.
3
3. I felt I had a good relationship with the consultant.
3
4. I believe the consultation service was helpful.
3
5. I felt listened to by the consultant.
3
6. The consultant respected my opinions.
3
7. The consultant answered my questions.
3
8. I learned new ways to help children with challenging behaviors.
9. The consultation service positively affected the way I relate to children.
10. Overall, I am satisfied with the consultation service I recieved.
3
11. I feel the referring situation has improved.
3
12. What is ONE thing youre doing differently because of the consultation service you received?
n/a
13. Would you recommend this consultation service to other childcare providers? Why or why not?
n/a
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):
5
Other comments:
OPTIONAL - Consultants Name:
OPTIONAL - Your Name:
Admin Information
Survey UUID:
65aa9b54875e1
Case ID:
6578
Case Title:
025-000-111
Case Type:
child_family_focused
Survey Target:
parent_family
Survey Delivery Type:
link
Survey Generated Date:
Survey Submitted Date:
01/19/2024