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?
This year our classroom had some drastic environment changes mid year. This affected both myself and my associate. Jill Wilson allowed us both to be honest with our own humanity while providing us the tools needed to be what each of our students uniquely needed. We were able to bring calm back to your classroom and complete the year stronger because of the council and tools provided during these visits.

13. Would you recommend this consultation service to other childcare providers? Why or why not?
Absolutely, as teachers we are not given all of the understanding, information, materials, and tools we need to support every child. Having a professional like Jill Wilson support teachers and students fills in the very many gaps we see in early childhood classrooms.

14. How can this consultation service be improved?
I couldn’t see any improvement that needs to be made.

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 for all you do to support students and teachers.

OPTIONAL - Consultants Name:

OPTIONAL - Your Name: