Survey submission for provider – programmatic – 025-002-001

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?
I am being more consistent with social emotional activities during transitions, circle time, and one on one time.

13. Would you recommend this consultation service to other childcare providers? Why or why not?
Yes absolutely.

14. How can this consultation service be improved?
Encourage consistency when you are in the room. Such as if there is a disruption because they enter the room, encourage the children to still listen and continue to do what they was initially doing before they came in.

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 loved Hannah and her team and we look forward to working with them again. :)

OPTIONAL - Consultants Name:

OPTIONAL - Your Name:

Admin Information

Case ID: 6819

Case Title: 025-002-001

Case Type: programmatic

Survey Target: provider

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