HMG/EI
Exit this survey
1. Default Section
1
. I am satisfied with the services provided by Help Me Grow (HMG).
I am satisfied with the services provided by Help Me Grow (HMG).
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
2
. My needs are addressed promptly by HMG.
My needs are addressed promptly by HMG.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
3
. I understand why my child was screened and evaluated by HMG staff.
I understand why my child was screened and evaluated by HMG staff.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
4
. I am pleased with the explanation I received after the screenings and evaluations were completed on my child.
I am pleased with the explanation I received after the screenings and evaluations were completed on my child.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
5
. I am satisfied with the number of visits I receive from HMG.
I am satisfied with the number of visits I receive from HMG.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
6
. HMG visits help to increase positive interactions between me and my child.
HMG visits help to increase positive interactions between me and my child.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
7
. The information and material given to me by HMG, at home visits, is helpful.
The information and material given to me by HMG, at home visits, is helpful.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
8
. I understand the Family Service Plan.
I understand the Family Service Plan.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
9
. Additional comments:
Additional comments:
10
. Name (optional):
Name (optional):
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