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?
The way we approach children when they are having behaviors. She showed us how to talk to the children and how to help with their big emotions.

13. Would you recommend this consultation service to other childcare providers? Why or why not?
Yes, it is so nice to have the support of my consultant. She is so helpful, calm and great at showing us great techniques.

14. How can this consultation service be improved?
She needs no improvements.

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 are so thankful for Rachel and we will miss not having her to help guide us. We appreciate the support and the tools that she has shared with us.

OPTIONAL - Consultants Name: Rachel Slivik

OPTIONAL - Your Name: Melina Garcia