WAGES Quality Services Survey Quality Services Survey WAGES is committed to providing quality services for children and families. We are asking for your help as we evaluate the quality of our program. Please complete the following short survey. Thank you for your help! OK Question Title * 1. Services provided are Excellent Good Fair Poor OK Question Title * 2. Attitude of the staff is Excellent Good Fair Poor OK Question Title * 3. You are informed of events Always Sometimes Rarely Never OK Question Title * 4. You are informed of upcoming events Timely Some Notice Little Notice No Notice OK Question Title * 5. The centers are clean Always Sometimes Rarely Never OK Question Title * 6. You feel welcome at the center Always Sometimes Rarely Never OK Question Title * 7. You feel the center is safe Always Sometimes Rarely Never OK Question Title * 8. You are aware of resources offered through WAGES Always Sometimes Rarely Never OK Question Title * 9. You are aware of the following as it relates to your child 1 2 3 4 5 6 7 8 9 10 11 12 Screening Results 1 2 3 4 5 6 7 8 9 10 11 12 Health Services Resources 1 2 3 4 5 6 7 8 9 10 11 12 Nutritional Activities 1 2 3 4 5 6 7 8 9 10 11 12 Program Decision Making 1 2 3 4 5 6 7 8 9 10 11 12 Volunteer Opportunities 1 2 3 4 5 6 7 8 9 10 11 12 Parent Training 1 2 3 4 5 6 7 8 9 10 11 12 Parent Committees 1 2 3 4 5 6 7 8 9 10 11 12 Bus Safety Rules 1 2 3 4 5 6 7 8 9 10 11 12 Home Visits 1 2 3 4 5 6 7 8 9 10 11 12 Class Lesson Plans 1 2 3 4 5 6 7 8 9 10 11 12 Parent-Teacher Conferences 1 2 3 4 5 6 7 8 9 10 11 12 Recruiting Other Families OK Question Title * 10. You participated in the following 1 2 3 4 5 6 7 8 9 10 11 12 13 Home Visits w/ Family Social Worker 1 2 3 4 5 6 7 8 9 10 11 12 13 Family Goal Setting 1 2 3 4 5 6 7 8 9 10 11 12 13 Nutritional Activities 1 2 3 4 5 6 7 8 9 10 11 12 13 Kindergarten Readiness Activities 1 2 3 4 5 6 7 8 9 10 11 12 13 Home Visits w/Teacher 1 2 3 4 5 6 7 8 9 10 11 12 13 Parent Support Groups 1 2 3 4 5 6 7 8 9 10 11 12 13 Male Involvement 1 2 3 4 5 6 7 8 9 10 11 12 13 Parent Committee Meetings 1 2 3 4 5 6 7 8 9 10 11 12 13 Parent Training 1 2 3 4 5 6 7 8 9 10 11 12 13 Program Decision Making 1 2 3 4 5 6 7 8 9 10 11 12 13 School Readiness Parent Training 1 2 3 4 5 6 7 8 9 10 11 12 13 Screening Results 1 2 3 4 5 6 7 8 9 10 11 12 13 Transportation OK DONE