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* 1. I have a good relationship with my child’s teacher and other staff.

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* 2. The teacher takes good care of my child, helps my child learn to get along with others, and is a good teacher.

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* 3. The teacher often shares information about things happening in the program and wants to know about things my child is doing at home.

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* 4. I talk with a teacher about my child at least once a week (or every day if my child is a baby.)

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* 5. I have received information at enrollment and/or throughout the year about the program and my child’s classroom, including information about:

  Yes No Don't know
Program mission and philosophy
Rules and expectations
Procedures for drop-off and pickup and handling emergencies
When my child may be exposed to contagious diseases and what I should do to protect my child

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* 6. I receive this information in a language that I understand.

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* 7. The teacher asks about things that are important to our family and uses this information to help my child grow and learn.

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* 8. For families who speak a language other than English at home: The teacher and I discuss the language used to teach my child.

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* 9. I am invited to take part in classroom activities and events.

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* 10. When I disagree with how a teacher works with my child, I feel comfortable letting the teacher know and working together to find a solution that works for both of us.

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* 11. I am comfortable with what my child is learning and how my child’s progress is measured. I have the opportunity to discuss what is learned and how it is measured.

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* 12. I know how the program makes sure that information about my child and his or her progress is kept confidential

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* 13. I receive written reports about my child at least twice a year.

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* 14. I am told about my child’s progress in language I understand and in
ways that are respectful to me and my family.

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* 15. The teacher and program work with me to meet my child’s individual or special needs and help me get other resources within the community when needed.

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* 16. The program helps me get to know other families in the program and encourages us to support each other.

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* 17. I am always welcome at the program and am invited to participate by helping to plan events, being involved in decisions about the program, and taking on leadership roles.

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* 18. I am provided a translator when needed.

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* 19. The program staff helps me learn about community events and
resources that can help my child and family.

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* 20. The program gives me information to help my child make a smooth transition to kindergarten or first grade.

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* 21. I believe the program administrator is an effective leader.

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* 22. I have been or will be included in program improvement efforts
including a yearly program evaluation.

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* 23. When program evaluations are completed, I receive information about the findings.

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* 24. I generally feel respected by the program staff and that my
contributions are valued.

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* 25. For families with babies only: The program supports breastfeeding by providing space, storing milk, instructing staff on handling procedures, etc.

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* 26. For families with babies or children with special nutritional needs: Staff work with me to meet my child’s nutritional needs and document for me what my child eats each day.

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