Exit this survey
Child Development - Provider Survey
1. Ages and Stages Questionnaires (ASQ) - Survey for Providers
1
. Did this ASQ screening assist you in communicating with the parent about their child's development?
Did this ASQ screening assist you in communicating with the parent about their child's development?
Yes
No
2
. If the results indicated a possible delay, did you use any of the activities recommended?
If the results indicated a possible delay, did you use any of the activities recommended?
Yes
No
N/A
3
. If you answered yes to question #2, do you feel the activities were helpful?
If you answered yes to question #2, do you feel the activities were helpful?
Yes
No
N/A
4
. Do you feel the ASQ screening helped you understand the development of this child?
Do you feel the ASQ screening helped you understand the development of this child?
Yes
No
5
. If you had any developmental concerns about the child, were they addressed?
If you had any developmental concerns about the child, were they addressed?
Yes
No
N/A
6
. Are you satisfied with this screening service provided by the Early Learning Coalition of Manatee County?
Very Satisfied
Somewhat Satisfied
Somewhat Dissatisfied
Very Dissatisfied
Level of Satisfaction
*
Are you satisfied with this screening service provided by the Early Learning Coalition of Manatee County? Level of Satisfaction Very Satisfied
Level of Satisfaction Somewhat Satisfied
Level of Satisfaction Somewhat Dissatisfied
Level of Satisfaction Very Dissatisfied
7
. Please include any additional comments or suggestions of which you would like us to be aware:
Please include any additional comments or suggestions of which you would like us to be aware:
Javascript is required for this site to function, please enable.