Exit this survey

ESIT Family Survey (2017-2018)

1. Ways in which you support your child's needs.

Question Title

* Family Identification Number (found on the bottom of your paper survey or in the email sent to you)

Question Title

* Outcome 1: Understanding your child's strengths, needs, and abilities.

	Not at all	A little	Somewhat	Almost	Completely
1. We know the next steps for our child's growth and learning.	1. We know the next steps for our child's growth and learning. Not at all	1. We know the next steps for our child's growth and learning. A little	1. We know the next steps for our child's growth and learning. Somewhat	1. We know the next steps for our child's growth and learning. Almost	1. We know the next steps for our child's growth and learning. Completely
2. We understand our child's strengths and abilities.	2. We understand our child's strengths and abilities. Not at all	2. We understand our child's strengths and abilities. A little	2. We understand our child's strengths and abilities. Somewhat	2. We understand our child's strengths and abilities. Almost	2. We understand our child's strengths and abilities. Completely
3. We understand our child's delays and/or needs.	3. We understand our child's delays and/or needs. Not at all	3. We understand our child's delays and/or needs. A little	3. We understand our child's delays and/or needs. Somewhat	3. We understand our child's delays and/or needs. Almost	3. We understand our child's delays and/or needs. Completely
4. We are able to tell when our child is making progress.	4. We are able to tell when our child is making progress. Not at all	4. We are able to tell when our child is making progress. A little	4. We are able to tell when our child is making progress. Somewhat	4. We are able to tell when our child is making progress. Almost	4. We are able to tell when our child is making progress. Completely

Question Title

* Outcome 2: Knowing your rights and advocating for your child.

	Not at all	A little	Somewhat	Almost	Completely
5. We are able to find and use the services and programs available to us.	5. We are able to find and use the services and programs available to us. Not at all	5. We are able to find and use the services and programs available to us. A little	5. We are able to find and use the services and programs available to us. Somewhat	5. We are able to find and use the services and programs available to us. Almost	5. We are able to find and use the services and programs available to us. Completely
6. We know our rights related to our child's special needs.	6. We know our rights related to our child's special needs. Not at all	6. We know our rights related to our child's special needs. A little	6. We know our rights related to our child's special needs. Somewhat	6. We know our rights related to our child's special needs. Almost	6. We know our rights related to our child's special needs. Completely
7. We know who to contact and what to do when we have questions or concerns.	7. We know who to contact and what to do when we have questions or concerns. Not at all	7. We know who to contact and what to do when we have questions or concerns. A little	7. We know who to contact and what to do when we have questions or concerns. Somewhat	7. We know who to contact and what to do when we have questions or concerns. Almost	7. We know who to contact and what to do when we have questions or concerns. Completely
8. We know what options are available when our child leaves the program.	8. We know what options are available when our child leaves the program. Not at all	8. We know what options are available when our child leaves the program. A little	8. We know what options are available when our child leaves the program. Somewhat	8. We know what options are available when our child leaves the program. Almost	8. We know what options are available when our child leaves the program. Completely
9. We are comfortable asking for services and supports that our child and family need.	9. We are comfortable asking for services and supports that our child and family need. Not at all	9. We are comfortable asking for services and supports that our child and family need. A little	9. We are comfortable asking for services and supports that our child and family need. Somewhat	9. We are comfortable asking for services and supports that our child and family need. Almost	9. We are comfortable asking for services and supports that our child and family need. Completely

Question Title

* Outcome 3: Helping your child develop and learn.

	Not at all	A little	Somewhat	Almost	Completely
10. We are able to help our child get along with others.	10. We are able to help our child get along with others. Not at all	10. We are able to help our child get along with others. A little	10. We are able to help our child get along with others. Somewhat	10. We are able to help our child get along with others. Almost	10. We are able to help our child get along with others. Completely
11. We are able to help our child learn new skills.	11. We are able to help our child learn new skills. Not at all	11. We are able to help our child learn new skills. A little	11. We are able to help our child learn new skills. Somewhat	11. We are able to help our child learn new skills. Almost	11. We are able to help our child learn new skills. Completely
12. We are able to help our child take care of his/her needs.	12. We are able to help our child take care of his/her needs. Not at all	12. We are able to help our child take care of his/her needs. A little	12. We are able to help our child take care of his/her needs. Somewhat	12. We are able to help our child take care of his/her needs. Almost	12. We are able to help our child take care of his/her needs. Completely
13. We are able to work on our child's goals during everyday routines.	13. We are able to work on our child's goals during everyday routines. Not at all	13. We are able to work on our child's goals during everyday routines. A little	13. We are able to work on our child's goals during everyday routines. Somewhat	13. We are able to work on our child's goals during everyday routines. Almost	13. We are able to work on our child's goals during everyday routines. Completely

Question Title

* Outcome 4: Having support systems.

	Not at all	A little	Somewhat	Almost	Completely
14. We are comfortable talking to family and friends about our child's needs.	14. We are comfortable talking to family and friends about our child's needs. Not at all	14. We are comfortable talking to family and friends about our child's needs. A little	14. We are comfortable talking to family and friends about our child's needs. Somewhat	14. We are comfortable talking to family and friends about our child's needs. Almost	14. We are comfortable talking to family and friends about our child's needs. Completely
15. We have friends or family members who listen and care.	15. We have friends or family members who listen and care. Not at all	15. We have friends or family members who listen and care. A little	15. We have friends or family members who listen and care. Somewhat	15. We have friends or family members who listen and care. Almost	15. We have friends or family members who listen and care. Completely
16. We are able to talk with other families who have a child with similar needs.	16. We are able to talk with other families who have a child with similar needs. Not at all	16. We are able to talk with other families who have a child with similar needs. A little	16. We are able to talk with other families who have a child with similar needs. Somewhat	16. We are able to talk with other families who have a child with similar needs. Almost	16. We are able to talk with other families who have a child with similar needs. Completely
17. We have friends or family members we can rely on when we need help.	17. We have friends or family members we can rely on when we need help. Not at all	17. We have friends or family members we can rely on when we need help. A little	17. We have friends or family members we can rely on when we need help. Somewhat	17. We have friends or family members we can rely on when we need help. Almost	17. We have friends or family members we can rely on when we need help. Completely
18. I am able to take care of my own needs and do things I enjoy.	18. I am able to take care of my own needs and do things I enjoy. Not at all	18. I am able to take care of my own needs and do things I enjoy. A little	18. I am able to take care of my own needs and do things I enjoy. Somewhat	18. I am able to take care of my own needs and do things I enjoy. Almost	18. I am able to take care of my own needs and do things I enjoy. Completely

Question Title

* Outcome 5: Accessing the community.

	Not at all	A little	Somewhat	Almost	Completely
19. Our child participates in social, recreational, or religious activities that we want.	19. Our child participates in social, recreational, or religious activities that we want. Not at all	19. Our child participates in social, recreational, or religious activities that we want. A little	19. Our child participates in social, recreational, or religious activities that we want. Somewhat	19. Our child participates in social, recreational, or religious activities that we want. Almost	19. Our child participates in social, recreational, or religious activities that we want. Completely
20. We are able to do things we enjoy together as a family.	20. We are able to do things we enjoy together as a family. Not at all	20. We are able to do things we enjoy together as a family. A little	20. We are able to do things we enjoy together as a family. Somewhat	20. We are able to do things we enjoy together as a family. Almost	20. We are able to do things we enjoy together as a family. Completely
21. Our medical and dental needs are met.	21. Our medical and dental needs are met. Not at all	21. Our medical and dental needs are met. A little	21. Our medical and dental needs are met. Somewhat	21. Our medical and dental needs are met. Almost	21. Our medical and dental needs are met. Completely
22. Our child care needs are met.	22. Our child care needs are met. Not at all	22. Our child care needs are met. A little	22. Our child care needs are met. Somewhat	22. Our child care needs are met. Almost	22. Our child care needs are met. Completely
23. Our transportation needs are met.	23. Our transportation needs are met. Not at all	23. Our transportation needs are met. A little	23. Our transportation needs are met. Somewhat	23. Our transportation needs are met. Almost	23. Our transportation needs are met. Completely
24. Our food, clothing, and housing needs are met.	24. Our food, clothing, and housing needs are met. Not at all	24. Our food, clothing, and housing needs are met. A little	24. Our food, clothing, and housing needs are met. Somewhat	24. Our food, clothing, and housing needs are met. Almost	24. Our food, clothing, and housing needs are met. Completely

33% of survey complete.