CHILDREN'S TREATMENT NETWORK PARENT SURVEY JANUARY 2011

1. ABOUT YOUR CHILD AND THE NETWORK

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Dear Parents and Caregivers:

Children's Treatment Network is dedicated to providing comprehensive care and coordinated services for your child and family. Over the last 5 years, input from families like yours has guided our efforts to coordinate care and bring more services closer to home. We need your feedback to plan the Network's focus and priorities for the next 5 years.

Please take a few minutes to complete this survey. The information you share with us is anonymous and is not linked to your child's records.

Your comments and suggestions are essential to help us pinpoint gaps, identify priorities and make improvements, based on your experience. Your recommendations will guide plans for programs, services and supports that best meet your needs into the future.

Thank you for taking the time to share your thoughts. Your input will help us build on the progress we have made together and improve our ability to support kids with multiple special needs.

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* 1. How would you rate your awareness level of Children's Treatment Network of Simcoe York?

High Awareness

Some Awareness

Little Awareness

Unaware

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* 2. How long has your family been involved with Children's Treatment Network?

Less than 3 months

3 months to less than 1 year

1 to 2 years

2+ years

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* 3. How old is your child today?

0 to 2 years

3 to 4 years

5 to 9 years

10 to 14 years

15 to 19 years

19+ years

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* 4. What is your child's gender?

Male

Female

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* 5. What are the first THREE numbers/ letters of your postal code?

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* 6. Please check ALL the services your child has received or is waiting for through Children's Treatment Network.

Audiology

Augmentative Communication

Child and Family Counselling

Clinical Nutrition

Developmental Assesment

Developmental Paediatrics

Feeding

Inclusive Recreation

Joint Management/ Botox

Neurophsychology

Occupational Therapy

Physiotherapy

Seating and Mobility

Service Coordination

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* 7. Do you have a completed Single Plan of Care (SPOC) for your child?

Yes

Don't know

Not Applicable

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* 8. In terms of your service experiences for your child, what has worked for you the best/ you are most satisfied with or happy about?

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* 9. In terms of your service experiences for your child, what were you less satisfied with/ did not work for you?

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* 10. Overall, how satisfied are you with the services you received for your child?

Highly Satisfied

Satisfied

Somewhat Satisfied

Not Satisfied

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* 11. Please rank the following services as to their value to you and your child.

	1=Most important	2=Second most important	3=Least important
Services Coordination	Services Coordination 1=Most important	Services Coordination 2=Second most important	Services Coordination 3=Least important
Direct Treatment	Direct Treatment 1=Most important	Direct Treatment 2=Second most important	Direct Treatment 3=Least important
Parent to Parent Contact/ support	Parent to Parent Contact/ support 1=Most important	Parent to Parent Contact/ support 2=Second most important	Parent to Parent Contact/ support 3=Least important

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* 12. From your experiences with children's services, were there service areas/ needs that were not available to you that you required?

Yes

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* 13. If YES, in what areas?

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* 14. If you were designing the children's services delivery system that you have been involved with in Simcoe-York, how would it look different than it does today?

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* 15. Please rate the effectiveness of the communication you experienced for children's services you are/ were involved with.

Very good

Good

Fair

Poor

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* 16. How could communication be improved?

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* 17. Do you feel you, as a parent, are adequately involved with/ engaged in the planning and organizing of children's services undertaken by Children's Treatment Network?

Yes

Don't know

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* 18. If NO, how could involvement/ engagement be improved?

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* 19. What specific recommendations would you like to make, based on your experiences to date, to improve Children's Treatment Network of Simcoe-York in the next five years?

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* 20. Would you recommend Children's Treatment Network to other families of children with multiple special needs?

Definitely

Probably

Not sure

Probably not

Definitely not