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Parent to Parent Post-Evaluation

Parent to Parent Post-Evaluation

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* 1. Please complete the following:

First Name

Last Name

Email Address

Who was your instructor for the Parent to Parent Class?

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* 2. What date did your class begin?

	Date
Date	Date Date menu

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* 3. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

N/A

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* 4. What is your gender?

Female

Male

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* 5. What type of ADHD does the child(ren) for whom you are attending this course have?

	Inattentive Type ADHD	Hyperactive Type ADHD	Combined Inattentive/Hyperactive Type ADHD	Other (Please Specify)
Child 1	Child 1 Inattentive Type ADHD	Child 1 Hyperactive Type ADHD	Child 1 Combined Inattentive/Hyperactive Type ADHD	Child 1 Other (Please Specify)
Child 2	Child 2 Inattentive Type ADHD	Child 2 Hyperactive Type ADHD	Child 2 Combined Inattentive/Hyperactive Type ADHD	Child 2 Other (Please Specify)
Child 3	Child 3 Inattentive Type ADHD	Child 3 Hyperactive Type ADHD	Child 3 Combined Inattentive/Hyperactive Type ADHD	Child 3 Other (Please Specify)
Child 4	Child 4 Inattentive Type ADHD	Child 4 Hyperactive Type ADHD	Child 4 Combined Inattentive/Hyperactive Type ADHD	Child 4 Other (Please Specify)

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* 6. How confident are you in your ability to:

	Not at all Confident	Somewhat Confident	Confident	Very Confident	I don't know or N/A
Understand the characteristics of ADHD?	Understand the characteristics of ADHD? Not at all Confident	Understand the characteristics of ADHD? Somewhat Confident	Understand the characteristics of ADHD? Confident	Understand the characteristics of ADHD? Very Confident	Understand the characteristics of ADHD? I don't know or N/A
Understand evidence-based treatments for ADHD.	Understand evidence-based treatments for ADHD. Not at all Confident	Understand evidence-based treatments for ADHD. Somewhat Confident	Understand evidence-based treatments for ADHD. Confident	Understand evidence-based treatments for ADHD. Very Confident	Understand evidence-based treatments for ADHD. I don't know or N/A
Understand current knowledge about medications for ADHD.	Understand current knowledge about medications for ADHD. Not at all Confident	Understand current knowledge about medications for ADHD. Somewhat Confident	Understand current knowledge about medications for ADHD. Confident	Understand current knowledge about medications for ADHD. Very Confident	Understand current knowledge about medications for ADHD. I don't know or N/A
Understand current knowledge about behavioral strategies for ADHD.	Understand current knowledge about behavioral strategies for ADHD. Not at all Confident	Understand current knowledge about behavioral strategies for ADHD. Somewhat Confident	Understand current knowledge about behavioral strategies for ADHD. Confident	Understand current knowledge about behavioral strategies for ADHD. Very Confident	Understand current knowledge about behavioral strategies for ADHD. I don't know or N/A
Cope with having a child with ADHD.	Cope with having a child with ADHD. Not at all Confident	Cope with having a child with ADHD. Somewhat Confident	Cope with having a child with ADHD. Confident	Cope with having a child with ADHD. Very Confident	Cope with having a child with ADHD. I don't know or N/A
Organize your child's schoolwork.	Organize your child's schoolwork. Not at all Confident	Organize your child's schoolwork. Somewhat Confident	Organize your child's schoolwork. Confident	Organize your child's schoolwork. Very Confident	Organize your child's schoolwork. I don't know or N/A
Obtain educational services foryour child.	Obtain educational services foryour child. Not at all Confident	Obtain educational services foryour child. Somewhat Confident	Obtain educational services foryour child. Confident	Obtain educational services foryour child. Very Confident	Obtain educational services foryour child. I don't know or N/A
Set up a system to communicate with your child's school.	Set up a system to communicate with your child's school. Not at all Confident	Set up a system to communicate with your child's school. Somewhat Confident	Set up a system to communicate with your child's school. Confident	Set up a system to communicate with your child's school. Very Confident	Set up a system to communicate with your child's school. I don't know or N/A
Set up a system to communicate with your child's teacher specifically.	Set up a system to communicate with your child's teacher specifically. Not at all Confident	Set up a system to communicate with your child's teacher specifically. Somewhat Confident	Set up a system to communicate with your child's teacher specifically. Confident	Set up a system to communicate with your child's teacher specifically. Very Confident	Set up a system to communicate with your child's teacher specifically. I don't know or N/A
Respond to others who ask you questions about ADHD.	Respond to others who ask you questions about ADHD. Not at all Confident	Respond to others who ask you questions about ADHD. Somewhat Confident	Respond to others who ask you questions about ADHD. Confident	Respond to others who ask you questions about ADHD. Very Confident	Respond to others who ask you questions about ADHD. I don't know or N/A
Advocate for your child in a variety of settings.	Advocate for your child in a variety of settings. Not at all Confident	Advocate for your child in a variety of settings. Somewhat Confident	Advocate for your child in a variety of settings. Confident	Advocate for your child in a variety of settings. Very Confident	Advocate for your child in a variety of settings. I don't know or N/A

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* 7. How confident are you in using the following strategies with your child:

	Not at all Confident	Somewhat Confident	Confident	Very Confident	I don't know
Effective praise	Effective praise Not at all Confident	Effective praise Somewhat Confident	Effective praise Confident	Effective praise Very Confident	Effective praise I don't know
Effective commands	Effective commands Not at all Confident	Effective commands Somewhat Confident	Effective commands Confident	Effective commands Very Confident	Effective commands I don't know
Time out	Time out Not at all Confident	Time out Somewhat Confident	Time out Confident	Time out Very Confident	Time out I don't know
A token reward/consequences system	A token reward/consequences system Not at all Confident	A token reward/consequences system Somewhat Confident	A token reward/consequences system Confident	A token reward/consequences system Very Confident	A token reward/consequences system I don't know
Home/school daily report card	Home/school daily report card Not at all Confident	Home/school daily report card Somewhat Confident	Home/school daily report card Confident	Home/school daily report card Very Confident	Home/school daily report card I don't know

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* 8. Rate impairment based on behavior, learning, and social skills compared to children of similar age who do not have ADHD.

	No Impairment	Minimal Impairment	Some Impairment	Severe Impairment
Child 1	Child 1 No Impairment	Child 1 Minimal Impairment	Child 1 Some Impairment	Child 1 Severe Impairment
Child 2	Child 2 No Impairment	Child 2 Minimal Impairment	Child 2 Some Impairment	Child 2 Severe Impairment
Child 3	Child 3 No Impairment	Child 3 Minimal Impairment	Child 3 Some Impairment	Child 3 Severe Impairment
Child 4	Child 4 No Impairment	Child 4 Minimal Impairment	Child 4 Some Impairment	Child 4 Severe Impairment

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* 9. Please rate:

	Not at all Effective	Somewhat Effective	Effective	Very Effective
How effective did you find the P2P Workbook at meeting your immediate needs for education about ADHD?	How effective did you find the P2P Workbook at meeting your immediate needs for education about ADHD? Not at all Effective	How effective did you find the P2P Workbook at meeting your immediate needs for education about ADHD? Somewhat Effective	How effective did you find the P2P Workbook at meeting your immediate needs for education about ADHD? Effective	How effective did you find the P2P Workbook at meeting your immediate needs for education about ADHD? Very Effective

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* 10. Please rate:

	Don't expect to use it	May use it some	Expect to use it	Will definitely use it
How do you expect you will use the P2P Workbook as a reference tool now that the course is over?	How do you expect you will use the P2P Workbook as a reference tool now that the course is over? Don't expect to use it	How do you expect you will use the P2P Workbook as a reference tool now that the course is over? May use it some	How do you expect you will use the P2P Workbook as a reference tool now that the course is over? Expect to use it	How do you expect you will use the P2P Workbook as a reference tool now that the course is over? Will definitely use it

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* 11. Please rate:

	For Information	For specific parenting tips	For tips working with school/teachers	For examples of forms/letters/tools
How will you use the P2P Workbook?	How will you use the P2P Workbook? For Information	How will you use the P2P Workbook? For specific parenting tips	How will you use the P2P Workbook? For tips working with school/teachers	How will you use the P2P Workbook? For examples of forms/letters/tools

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* 12. Please rate:

	Not at all Difficult	A little Difficult	Somewhat Difficult	Very Difficult
How difficult was the material in the P2P Workbook to read?	How difficult was the material in the P2P Workbook to read? Not at all Difficult	How difficult was the material in the P2P Workbook to read? A little Difficult	How difficult was the material in the P2P Workbook to read? Somewhat Difficult	How difficult was the material in the P2P Workbook to read? Very Difficult
How difficult was the material in the P2P Workbook to understand?	How difficult was the material in the P2P Workbook to understand? Not at all Difficult	How difficult was the material in the P2P Workbook to understand? A little Difficult	How difficult was the material in the P2P Workbook to understand? Somewhat Difficult	How difficult was the material in the P2P Workbook to understand? Very Difficult

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* 13. Please rate:

	Not at all	Changed a Little	Changed Some	Changed A Lot
How has your parenting style changed as a result of this course?	How has your parenting style changed as a result of this course? Not at all	How has your parenting style changed as a result of this course? Changed a Little	How has your parenting style changed as a result of this course? Changed Some	How has your parenting style changed as a result of this course? Changed A Lot

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* 14. Please answer:

	Yes	No	Don't Know	N/A
Do you feel your parenting style is more effective as a result of this course?	Do you feel your parenting style is more effective as a result of this course? Yes	Do you feel your parenting style is more effective as a result of this course? No	Do you feel your parenting style is more effective as a result of this course? Don't Know	Do you feel your parenting style is more effective as a result of this course? N/A

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* 15. What is the age of the child(ren) for whom you attended this class?

Child 1

Child 2

Child 3

Child 4

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* 16. Of the seven (7) class sessions, how many did you attend?

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* 17. Please indicate:

	Grade 6-8	Grade 9-11	Grade 12 or GED	Some college	Completed 4 year college degree	More than 4 year college degree
The Final Grade that you completed.	The Final Grade that you completed. Grade 6-8	The Final Grade that you completed. Grade 9-11	The Final Grade that you completed. Grade 12 or GED	The Final Grade that you completed. Some college	The Final Grade that you completed. Completed 4 year college degree	The Final Grade that you completed. More than 4 year college degree

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* 18. Did you take this class alone?

Yes

No

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* 19. If NO:

	The child's other parent	Another realtive of the child	The child's step-parent	A friend or partner who helps me care for the child
Who did you take this class with?	Who did you take this class with? The child's other parent	Who did you take this class with? Another realtive of the child	Who did you take this class with? The child's step-parent	Who did you take this class with? A friend or partner who helps me care for the child

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* 20. What is the most important thing you learned in this course?