Satisfaction Survey Results
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?
N/A
13. Would you recommend this consultation service to other childcare providers? Why or why not?
Yes
Provided specific information and assistance
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):
Other comments:
OPTIONAL - Consultants Name:
OPTIONAL - Your Name:
Admin Information
Survey UUID:
Case ID:
4101
Case Title:
061-001-103
Case Type:
programmatic
Survey Target:
provider
Survey Delivery Type:
Survey Generated Date:
Survey Submitted Date:
07/22/2021