Positive Solutions for Families, Caregiver Evaluation Thank you for completing the 6-session workshop on Positive Solutions for Families! Please complete this brief survey so we can continue to provide this workshop. Question Title * 1. Please enter the trainer's name and location of training: Trainer's Name Location Question Title * 2. How many children currently live with you? Question Title * 3. How many children ages 0-5 currently live with you? Question Title * 4. Please select the county you live in: Albany Allegany Bronx Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Kings (Brooklyn) Lewis Livingston Madison Monroe Montgomery Nassau New York (Manhattan) Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putman Queens Rensselaer Richmond (Staten Island) Rockland St. Lawrence Saratoga Schenectady Schoharie Schuyler Seneca Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates Question Title * 5. Please select a response for each row: Strongly agree Agree Disagree Strongly disagree I feel that the workshop has met my expectations for helping my child's social emotional development. I feel that the workshop has met my expectations for helping my child's social emotional development. Strongly agree I feel that the workshop has met my expectations for helping my child's social emotional development. Agree I feel that the workshop has met my expectations for helping my child's social emotional development. Disagree I feel that the workshop has met my expectations for helping my child's social emotional development. Strongly disagree The information provided is helpful when working with my child. The information provided is helpful when working with my child. Strongly agree The information provided is helpful when working with my child. Agree The information provided is helpful when working with my child. Disagree The information provided is helpful when working with my child. Strongly disagree I feel that I have a better understanding of challenging behavior. I feel that I have a better understanding of challenging behavior. Strongly agree I feel that I have a better understanding of challenging behavior. Agree I feel that I have a better understanding of challenging behavior. Disagree I feel that I have a better understanding of challenging behavior. Strongly disagree I am able to use strategies I learned in these workshops to decrease challenging behavior and/or teach new skills. I am able to use strategies I learned in these workshops to decrease challenging behavior and/or teach new skills. Strongly agree I am able to use strategies I learned in these workshops to decrease challenging behavior and/or teach new skills. Agree I am able to use strategies I learned in these workshops to decrease challenging behavior and/or teach new skills. Disagree I am able to use strategies I learned in these workshops to decrease challenging behavior and/or teach new skills. Strongly disagree Question Title * 6. What additional supports would have helped you attend these workshops? Question Title * 7. I would recommend this 6-week workshop to other families: Yes No Question Title * 8. The activities and strategies that I liked the most were: Question Title * 9. I would like more information on: Question Title * 10. How did you hear about the Positive Solutions for Families workshops? Question Title * 11. Additional comments: Question Title * 12. Would you like to be contacted with additional resources and/or to follow-up on the workshop impact? Yes No Question Title * 13. If you answered yes to #12, please provide your name, email address and phone number. This information will not be shared with the trainer and will only be used by NYS CCF Staff to share resources and/or follow-up on the workshop impact. Name Email Address Cell Phone Number Done