Wee School Current Parents Survey

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1. When at Wee School, my child receives: (Check all that apply)

When at Wee School, my child receives: (Check all that apply)   Physical Therapy (PT) Occupational Therapy (OT) Speech Therapy I am not sure.

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2. Think about when your child was first assessed for Wee School services and please rate each of the following areas:

	Excellent	Good	Fair	Poor
The staff made me feel comfortable.	*Think about when your child was first assessed for Wee School services and please rate each of the following areas: The staff made me feel comfortable. Excellent	The staff made me feel comfortable. Good	The staff made me feel comfortable. Fair	The staff made me feel comfortable. Poor
The results of the assessment were understandable.	The results of the assessment were understandable. Excellent	The results of the assessment were understandable. Good	The results of the assessment were understandable. Fair	The results of the assessment were understandable. Poor
I felt comfortable sharing my concerns.	I felt comfortable sharing my concerns. Excellent	I felt comfortable sharing my concerns. Good	I felt comfortable sharing my concerns. Fair	I felt comfortable sharing my concerns. Poor
The Plan developed was easy to understand.	The Plan developed was easy to understand. Excellent	The Plan developed was easy to understand. Good	The Plan developed was easy to understand. Fair	The Plan developed was easy to understand. Poor
Please rate the overall process	Please rate the overall process Excellent	Please rate the overall process Good	Please rate the overall process Fair	Please rate the overall process Poor

Other comments (please specify)

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3. Are you receiving the amount of Wee School services that you feel your child needs?

Are you receiving the amount of Wee School services that you feel your child needs?   Yes No (Please answer question below.)

If No, what services do you wish you had more of?

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4. Do you know all of your child's team members and what they do for your child?

Do you know all of your child's team members and what they do for your child?   Yes No (Please answer question below.)

If No, what can we do to help you understand their role?

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5. Do you feel comfortable asking the staff questions?

Do you feel comfortable asking the staff questions?   Yes No (Please answer question below.)

If No, what can we do to help you feel comfortable asking questions?

6. When we meet to update my child's plan, I am given ample opportunity to participate. (ie. Do you feel as though you are an equal member of the team?)

When we meet to update my child's plan, I am given ample opportunity to participate. (ie. Do you feel as though you are an equal member of the team?)   Strongly Agree Agree Neutral Disagree Strongly Disagree

Other (please specify)

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7. Do you or have you used Sibling Care when your child is in class?

Do you or have you used Sibling Care when your child is in class?   Yes (If yes, please answer questions #8, 9, & 10) No (If no, please skip to question #11)

8. How satisfied are you with Sibling Care?

	Extremely Satisfied	Satisfied	Somewhat Satisfied	Unsatisfied
How satisfied are you with Sibling Care?	*How satisfied are you with Sibling Care? How satisfied are you with Sibling Care? Extremely Satisfied	How satisfied are you with Sibling Care? Satisfied	How satisfied are you with Sibling Care? Somewhat Satisfied	How satisfied are you with Sibling Care? Unsatisfied

Please add comments if you wish.

9. How important is Sibling Care to you in order for you to attend Wee School Classes?

How important is Sibling Care to you in order for you to attend Wee School Classes?   Extremely Important Important Somewhat Important Not Important Not applicable

Please add comments if you wish.

10. If you currently use Sibling Care while you and your child are in class, would you be willing to pay a small fee to have your child use Sibling Care?

If you currently use Sibling Care while you and your child are in class, would you be willing to pay a small fee to have your child use Sibling Care?   Yes No (Please answer question below).

If No, how would this impact your ability to attend Wee School?

11. Everyone learns things in different ways. What works well for you to learn about your child? (Please select all that apply.)

Everyone learns things in different ways. What works well for you to learn about your child? (Please select all that apply.)   Information Network (parent training meetings in conference room during class time) Observing others work with my child Direct hands-on with my child Home Programs Handouts

Other (please specify)

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12. Are class times convenient for you?

Are class times convenient for you?   Yes No (Please answer question below.)

If No, what time would be more convenient for you?

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13. Do you feel supported by other families in class?

Do you feel supported by other families in class?   Yes No (Please answer question below.)

If No, what would help you to feel more supported?

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14. Would you prefer home based services rather than having class in the center?

Would you prefer home based services rather than having class in the center?   Yes (Please answer question below.) No (Please answer question below.)

Why or Why Not?

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15. Do you feel you get help with issues at home?

Do you feel you get help with issues at home?   Yes No (Please answer question below.)

If No, what would help you more with issues at home?

16. What is your favorite thing about Wee School?

What is your favorite thing about Wee School?

17. If you could change one thing about Wee School, what would it be?

If you could change one thing about Wee School, what would it be?