1. Family Forum, Inc.

This is a satisfaction survey for families enrolled in Head Start/ Early Head Start during the 2016-2017 school year to assess program effectiveness and plan for improvements.

* 1. This past year my child was enrolled in?

* 2. How satisfied were you with the Head Start/ EHS program this year?

* 3. Rate the following services of the Head Start/ EHS program.

  Very satisfied Satisfied Neither satisfied nor dissatisfied Not satisfied
School Readiness
Parent Involvement
Food Service
Family Engagement
Health Services

* 4. To what extent do you know how your child is doing socially at school?

* 5. How often do you have conversations with your child about what he /she is learning at school?

* 6. How often do you help your child engage in activities which are educational outside the home?

* 7. Did your teacher explain the Galileo Parent Center ?

* 8. Have you used the Galileo Parent Center online?

* 9. How helpful was the discussion of your child's Galileo outcome scores to you?
(These scores show your child's progress in the domains of learning)

* 10. Were you involved in your child's educational planning in the Head Start/ Early Head Start program, including home visits?

* 11. Did you and your child read more books together this last year as a result of your enrollment in Head Start/ Early Head Start?

* 12. How effective were our teacher - parent communications to you?

* 13. Did you complete the family goals you set at the beginning of the school year?

* 14. Did you engage your child in more conversations about things that interest him or her this last year as a result of Head Start?

* 15. How involved were you at Head Start/ Early Head Start this year? Select all that apply.

  Often Sometimes Rarely Never N/A
Volunteered in the classroom
Attended group socializations
Set family goals
Attended parent child activities
Attended parent center meetings
Worked on special projects
Family Literacy activities

* 16. Do you know that your contribution of volunteer services creates a financial contribution ("in-kind" ) to the Head Start/ Early Head Start Program?

* 17. How helpful were the following services?

  Very helpful Somewhat helpful Not helpful Don't know
Family Portfolios
Family Partnership
Community Resource Manual
Parent Training Handouts
Teacher Home Visits
Parent Center Meetings
Parent/child activity day trainings
Fatherhood Activities

* 18. What suggestions do you have for involving more parents in the program?

* 19. What suggestions do you have for social events with other families?

* 20. In what ways has Head Start/ Early Head Start been beneficial to your family? Check all that apply.

* 21. Please check the three top needs of your family?

* 22. Does your child attend a daycare center or home daycare in addition to Head Start/ Early Head Start?

* 23. Did you participate in any of the following community activities this last school year?
(Check all that apply)

* 24. Early Head Start Home Base only: How satisfied are you with the following services?

  Very Satisfied Satisfied Somewhat satisfied Dissatisfied
Early Head Start home visits
Early Head Start socializations(playgroups)
Support the Early Head Start home visitor has provided to you and your family

* 25. Do you have access to the internet?

* 26. How clear is the information available on our website? www.familyforum.org

* 27. How would you like to receive information from Family Forum Inc?  (Check all that apply)

* 28. How was your experience at Forms Day this past fall?

* 29. Do you "follow" or "like"  Forum,Inc. Head Start and/or  Early Head Start on facebook?

* 30. How would you rate Family Forum bus transportation?

* 31. If transportation was not provided by Family Forum, Inc., would your child be able to participate in the program?

* 32. The Head Start program wants to be financially effective and efficient. Do you have any cost saving suggestions for the program?

* 33. General Comment/suggestions:

* 34. What is the name of the Head Start center that your child attends.

Please send completed form by (April 30, 2017) to your child's teacher, center manager or send directly to: Executive Director ,1507 Tower Ave., Suite 312 , Superior, WI 54880 or fax to: 715-392-5883 . If you wish to respond to this survey on line , go to: https://www.surveymonkey.com/r/6BRVSXJ
Thank You for helping us create a better program.

If interested in working for Family Forum Head Start/ Early Head Start, check out our website at www.familyforum.org or call 1.800.932.4473 or 715.392.9896.