EXIT Early Childhood Outcomes in Illinois Follow Up Survey Question Title * 1. First Name: OK Question Title * 2. Last Name: OK Question Title * 3. Title: Administrator Teacher Related Service Provider Family Member OK Question Title * 4. Email Address: OK Question Title * 5. Organization Type: School District/Cooperative Agency CFC Family Member OK Question Title * 6. Name of School & School District, Cooperative or CFC Number: OK Question Title * 7. This module lived up to my expectations: Strongly Agree Somewhat Agree No Opinion Somewhat Disagree Strongly Disagree OK Question Title * 8. I have a better understanding of the early childhood outcomes and child outcomes summary form : Strongly Agree Somewhat Agree No Opinion Somewhat Disagree Strongly Disagree OK Question Title * 9. I have a a clearer understanding of the importance of the early childhood outcomes. Strongly Agree Somewhat Agree No Opinion Somewhat Disagree Strongly Disagree OK Question Title * 10. The module helped me to identify resources that will be useful in completing COS forms. Strongly Agree Somewhat Agree No Opinion Somewhat Disagree Strongly Disagree OK Question Title * 11. The information stimulated my thinking.: Strongly Agree Somewhat Agree No Opinion Somewhat Disagree Strongly Disagree OK Question Title * 12. The best features of this module were: OK Question Title * 13. Additional Comments/Feedback: OK DONE