Child Development Services - Part C Indicator - Parent Survey

Part C Indicator - Parent Survey

 
The survey is for parents whose child or children are under 3. It is for parents of children who are getting early intervention services thru CDS. This survey is important to you and your child in Maine because your answers will help to improve services for children and families.
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1. Please indicate the name of the CDS site that you deal with.
CDS SITE DROP DOWN MENU
CDS Site Drop Down Menu Selection
2. Over the past year; early intervention has helped me and/or my family:
NeverRarelyOftenAlways
participate in typical activities for children and families in my community
3. Over the past year; early intervention has helped me and/or my family:
NeverRarelyOftenAlways
know about services in the community
4. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
improve my family's quality of life
5. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
know where to go for support to meet my child's needs
6. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
know where to go for support to meet my family's needs
7. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
get the services my child and family need
8. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
feel more confident in my skills as a parent
9. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
keep up friendships for my child and family
10. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
make changes in our routines that benefit my child with special needs
11. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
be more effective in managing my child's behavior
12. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOfrtenAlways
do activities that are good for my child even in times of stress
13. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
understand how the early intervention system works
14. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
feel I can get the services and support my child and family need
15. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
be able to evaluate how much progress my child is making
16. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
feel that my child will be accepted and welcomed in the community
17. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
feel that my family will be accepted and welcomed in the community
18. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
communicate better with the people who work with my child and family
19. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
understand the roles of the people who work with my child and family
20. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
do things with and for my child that are good for their development
21. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
understand my child's special needs
22. Over the past year, early intervention has helped me and/or my family:
NeverRarelyOftenAlways
feel that my efforts are helping my child
23. What is your current involvement with CDS
24. How old was your infant/toddler at the time you completed this survey?
25. old was your child when he or she was first referred to CDS?
26. Is your child a male or a female?
27. What is your child’s race / ethnicity?
28. What is your relationship to the child?
29. Which statement best describes how well you understand your child’s development?
30. How well do you know your rights and what to do if you are not satisfied?
31. How much has early intervention helped you know and understand your rights?
32. How would you describe your ability to help your child develop and learn?
33. How much has early intervention helped your family be able to help your child develop and learn?
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