Parent Evaluation of Parents as Teachers Program for 2009-2010 Survey

This year's Parents As Teachers program ended on April 30, 2010. We value your input on what we are doing well and your suggestions on how to strengthen our program.

1. What do you like best about Personal Visits from your Parent Educator?

What do you like best about Personal Visits from your Parent Educator?

2. What was your favorite Group Meeting this year?

What was your favorite Group Meeting this year?

3. Do you have a suggestion for a Group Meeting topic?

Do you have a suggestion for a Group Meeting topic?

4. Please rate your experience with the following services from 5-1, where 5 is great and 1 needs improvement:

	5	4	3	2	1	N/A
Vision/Hearing Screenings	*Please rate your experience with the following services from 5-1, where 5 is great and 1 needs improvement: Vision/Hearing Screenings 5	Vision/Hearing Screenings 4	Vision/Hearing Screenings 3	Vision/Hearing Screenings 2	Vision/Hearing Screenings 1	Vision/Hearing Screenings N/A
Developmental Screenings (DIAL, Denver or ASQ)	Developmental Screenings (DIAL, Denver or ASQ) 5	Developmental Screenings (DIAL, Denver or ASQ) 4	Developmental Screenings (DIAL, Denver or ASQ) 3	Developmental Screenings (DIAL, Denver or ASQ) 2	Developmental Screenings (DIAL, Denver or ASQ) 1	Developmental Screenings (DIAL, Denver or ASQ) N/A
Emailed Newsletter	Emailed Newsletter 5	Emailed Newsletter 4	Emailed Newsletter 3	Emailed Newsletter 2	Emailed Newsletter 1	Emailed Newsletter N/A
Consultant Classes	Consultant Classes 5	Consultant Classes 4	Consultant Classes 3	Consultant Classes 2	Consultant Classes 1	Consultant Classes N/A
Field Trips	Field Trips 5	Field Trips 4	Field Trips 3	Field Trips 2	Field Trips 1	Field Trips N/A
Registration Procedures	Registration Procedures 5	Registration Procedures 4	Registration Procedures 3	Registration Procedures 2	Registration Procedures 1	Registration Procedures N/A
Discovery Room	Discovery Room 5	Discovery Room 4	Discovery Room 3	Discovery Room 2	Discovery Room 1	Discovery Room N/A

Comments

5. Would you like to share anything else about your PAT experience?

Would you like to share anything else about your PAT experience?

6. Would you like to:

	Yes	No
Keep the same Parent Educator?	*Would you like to: Keep the same Parent Educator? Yes	Keep the same Parent Educator? No
Change your Parent Educator? If yes, please be sure to include your name in question 8.	Change your Parent Educator? If yes, please be sure to include your name in question 8. Yes	Change your Parent Educator? If yes, please be sure to include your name in question 8. No

7. Are you interested in volunteering for KECC/PAT PTO? If yes, please be sure to include your name in question 8.

Are you interested in volunteering for KECC/PAT PTO? If yes, please be sure to include your name in question 8. Yes

8. Please provide the following information:

Please provide the following information: Name (Optional):
Parent Educator:
Present Age(s) of Child(ren):
Number of Years in PAT:
Email Address:
Phone Number:

Parent Evaluation of Parents as Teachers Program for 2009-2010
Exit this survey

1. Survey

1. What do you like best about Personal Visits from your Parent Educator?

2. What was your favorite Group Meeting this year?

3. Do you have a suggestion for a Group Meeting topic?

4. Please rate your experience with the following services from 5-1, where 5 is great and 1 needs improvement:

5. Would you like to share anything else about your PAT experience?

6. Would you like to:

7. Are you interested in volunteering for KECC/PAT PTO? If yes, please be sure to include your name in question 8.

8. Please provide the following information:

Parent Evaluation of Parents as Teachers Program for 2009-2010Exit this survey

1. Survey

1. What do you like best about Personal Visits from your Parent Educator?

2. What was your favorite Group Meeting this year?

3. Do you have a suggestion for a Group Meeting topic?

4. Please rate your experience with the following services from 5-1, where 5 is great and 1 needs improvement:

5. Would you like to share anything else about your PAT experience?

6. Would you like to:

7. Are you interested in volunteering for KECC/PAT PTO? If yes, please be sure to include your name in question 8.

8. Please provide the following information:

Parent Evaluation of Parents as Teachers Program for 2009-2010
Exit this survey