PTI Follow Up Evaluation Question Title * 1. Your Contact Information First and Last Name Address City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 2. Type of Service You Received from ALPTI (Please check all services or information that you have received or accessed) 1a. Intake or Coaching Call (I have spoke with the ALPTI staff by phone). 1b. Meeting (IEP, IFSP, Parent)(ALPTI staff met with me or attended a meeting with me regarding my child). 1c. Information mailed or emailed (ALPTI staff sent me information after I spoke with them). 1d. Annual Conference (I attended the Raising the Standards Conference in June or received the conference on DVD). 1e. Advocacy Training (I attended a training about special education basics). 1f. Community Workshop (I attended a training about special education or disability) 1g. Conference Calls ( I called in on a group discussion) 1h. Webinars (I attended a webinar or received it on CDROM) 1i. Youth Advocacy Workshop (Available 2017) 1j. Youth Advocacy Toolkit (Available 2017) 2a. Lending Library (I was given or loaned books from the ALPTI center). 2b. Website (I have visited the center's website www.alabamaparentcenter.com) 2c. Social Media (I have viewed, liked, or shared the Facebook page Alabama Parent Education Center) 2d. E Newsletters (I received monthly newsletters to my email from the ALPTI center). 2e. Topical Tipsheets (I have used or been given information developed by the center on topics on the website, at a resource fair, or at a training). 2f. Public Awareness Booths (I meet ALPTI staff at a resource fair or booth at an event) 2g. Resource CD (I have received information on a CD Rom from the center). 3a. PTI Advisory Committee (I have helped the center by evaluating materials participating on the committee or giving feedback about services). 3c. PTI Awareness Presentation (I have learned about the center and its services after hearing staff speak at community events, workshops, trainings, or booths). Question Title * 3. The information or service I was provided was high quality, useful, and relevant. Yes No Question Title * 4. I was able to take action as a result of the support or information I received. Yes No Question Title * 5. PTI staff were knowledgeable and helpful. Yes No Question Title * 6. I have increased my knowledge and awareness as a result of the information provided by the PTI Center. Yes No Question Title * 7. I am satisfied with the service, training or support I received from the PTI Center. Yes No Question Title * 8. I would recommend the PTI Center to others. Yes No Question Title * 9. I know more about the PTI Center and services available as a result of the contact or information I received. Yes No Question Title * 10. As a result of contact and information with the PTI Center do you feel more confident in advocating and accessing services on behalf or for your child (for youth for yourself)? Yes No Thank you for completing the evaluation. Your opinion is important and valuable to our center. If you have any questions or concerns please contact our office at 334-567-2252 or toll free at 866-532-7660. Question Title * 11. Other comments you would like to add: Done
