START online Evaluation

Thank you for helping us improve our program. Your comments are greatly appreciated.

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* 1. Parent Name

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* 2. Contact Information

Address

Address 2

City/Town

ZIP/Postal Code

Email Address

Phone Number

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* 3. Child's Name

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* 4. Month and year child was born

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* 5. Did you and your child have fun?

Yes

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* 6. Did you learn something new?

Yes

It was good review of something I new

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* 7. Did you receive an art kit and use it?

Yes, I received an art kit and used it

Yes, I received an art kit but did not use it

No, I did not receive an art kit

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* 8. If so, will you use the art materials with your child again?

Very likely

Likely

Unlikely

Very unlikely

START online Evaluation

Question Title

* 1. Parent Name

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* 2. Contact Information

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* 3. Child's Name

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* 4. Month and year child was born

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* 5. Did you and your child have fun?

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* 6. Did you learn something new?

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* 7. Did you receive an art kit and use it?

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* 8. If so, will you use the art materials with your child again?

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* 9. Why or why not?

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* 10. Do you feel using the START online web page strengthened your parenting skills?

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* 11. Why or why not?

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* 12. START online even better?