Questions? Please reach out to Diane Atherton at datherton@pfcfmc.org or (910) 949-4045.

This questionnaire will help us to evaluate and continually improve the program we offer. We are interested in your honest opinions about the services you have received, whether they are positive or negative. Please answer all the questions.

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* 1. How would you rate the quality of the service you and your child received?

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* 2. Did you receive the type of help you wanted from the program?

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* 3. To what extent has the program met your child's needs?

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* 4. To what extent has the program met your needs?

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* 5. How satisfied were you with the amount of help you and your child received?

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* 6. Has the program helped you to deal more effectively with your child's behavior?

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* 7. Has the program helped you to deal more effectively with problems that arise in your family?

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* 8. Do you think your relationship with your partner has been improved by the program?

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* 9. In an overall sense, how satisfied are you with the program you and your child received?

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* 10. If you were to seek help again, would you come back to Triple P?

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* 11. Has the program helped you to develop skills that can be applied to other family members?

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* 12. In your opinion, how is your child's behavior at this point?

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* 13. How would you describe your feelings at this point about your child's development?

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* 14. Since the beginning of this program, have you sought further assistance for your child's behavior or for your family from any other source? If so, please describe.

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* 15. Have you had any other problems with your child which you feel may be related to the original difficulty?

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* 16. Do you have any other comments about this program?

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* 17. What is your full name? 

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* 18. What is today's date? 

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