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. 3

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. 4

12. What is ONE thing youre doing differently because of the consultation service you received?
Staff is more on the same page across the board, allowing us to work with our kiddo in a more uniform way.

13. Would you recommend this consultation service to other childcare providers? Why or why not?
Absolutely. We love Heather and ARC. Every time she graduates a child out of her services, I'm bringing her another. She is a great resource to our team.

14. How can this consultation service be improved?
As for our needs, I don't know that we need any areas of improvement at this time.

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:
We love Heather! As a director, I am so thankful for her input and allowing my staff to have another person in their corner.

OPTIONAL - Consultants Name:

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