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Question Title

* 1. While participating in Head Start, has the program:

  N/A Yes No
required you to give money in exchange for your child's participation in the program?
notified you in a timely manner of class closures, evacuation of the building, sick/hurt child, etc.?
provided materials/supplies to meet the needs of your child and/or family?
worked with your family to ensure transportation needs are met to participate in program activities?
attempted to obtain information from you about your child's health and safety needs?

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* 2. During your home visit or parent orientation, which of the following screenings did the program staff inform you that your child would need to receive? (Check all that apply.)

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* 3. After the screenings, how well did the program:

  Not Applicable Very well Well Not well Not at all
Share results of the screening
Include you in the referral (if applicable)
Involve you in the evaluation (if applicable)

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* 4. If your child speaks two languages and is learning English, how well does the program support your child through:

  Not Applicable Very well Well Not well Not at all
Educational activities
Classroom environment/materials

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* 5. In building relationships and stregthening families, how well does the program:

  Very well Well Not well Not at All
Make you feel welcome?
Respect your culture/ethnic background?
Speak with you in your home language?
Assist you to develop your individualized family goals?
Assist you to implement your individualized family goals?
Provide community resources that help to build new skills?
Provide you with financial resources (budget planning, benefit programs, etc.)?
Provide, directly or through referral, services that meet your needs?
Provide, directly or through referral, services that meet your goals?
Provide, directly or through referral, services that meet your interests?
Conduct follow up with you about needs, goals and interests?

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* 6. In promoting positive parent/child relationships, how well does the program:

  Very well Well Not well Not at all
Provide information about getting your child ready for school?
Provide opportunity to share concerns about your child's development?
Provide information about your child's strengths?
Partner with you about your child's individual learning experiences?
Work with you on your concerns about behavioral issues?
Provide education on Mental Health issues?

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* 7. In supporting parents as the first and most important educator, how well does the program:

  Very well Well Not well Not at all
Inform you about your child's developmental goals
Inform you about your child's educational progress?
Encourage you to observe your child's classroom as often as possible?
Support you in developing your child's language?

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* 8. When your child transfers from one program to the next, how well does the program:

  N/A Very well Well Not well Not at all
help you understand the transfer process?
provide opportunity to interact with new teachers (e.g., Head Start or Public School)?
encourage you to make decisions about your child's education?
encourage you to seek an understanding of your rights in the school setting?

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* 9. If your child is receiving special services (i.e., speech therapy, occupational therapy, etc.), how well does the program:

  N/A Very well Well Not well Not at all
provide information in order for you to gain knowledge about your child's disability?
provide information about your rights under Individuals with Disabilities Education Act (IDEA )?
enhance your self confidence and skills to access disability resources?
encourage you to speak on behalf of your child and ensure that the special needs of your child are met?

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* 10. For pregnant moms, has the program:

  N/A Yes No
provided you information on pre-natal care (fetal development, risks of smoking, labor and delivery)?
provided you information on early and continuing risk assessments (nutrition, breastfeeding, food related issues)?
provided you information on health promotion and treatment (medical and dental)?
provided you information on mental health intervention and follow-ups?
made any referrals for any of the areas above, if needed?

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