ChildNet Parent Satisfaction Survey 1. Please select the best answer for each question. Question Title * 1. Name (optional): Question Title * 2. What is your age? (Required.) Under 18 18-29 30-49 50-64 65 & Over Question Title * 3. Gender: (Required.) Female Male Other (please specify) Question Title * 4. Ethnicity: (Required.) Please select one. African American/Black Asian Indian Cambodian Chinese Cuban Eastern European Filipino German Haitian Hispanic/Latino Hmong Italian Japanese Korean Laotian Mexican/Chicano/Mexican American Other Other Southeast Asian Puerto Rican Russian Thai Unknown Vietnamese Please select one. menu Question Title * 5. Race: (Required.) Please select one. American Indian/Alaskan Native Asian Black/African American White Please select one. menu Question Title * 6. Religious/Cultural Affiliation: Question Title * 7. What is your primary language? (Required.) English Creole Spanish Other Question Title * 8. Please enter your City/Town: (Required.) Question Title * 9. Which category best describes your household income level? (Required.) Less than $10,000 $10,00-$20,000 $21,000-$40,000 $41,000-$60,000 $61,000-$80,000 $81,000+ Question Title * 10. How often does your Child Advocate involve you in case/service planning? (Required.) Always Very Often Sometimes Never Question Title * 11. Does your Child Advocate provide you the opportunity to offer feedback/opinions about your case and your family's needs? (Required.) Always Very Often Sometimes Never Question Title * 12. Has it been explained to you why your child(ren) is/are under ChildNet's supervision? (Required.) Yes Somewhat Not At All Question Title * 13. How would you score your participation with completing your case plan tasks? (Required.) Excellent Good Fair Poor Question Title * 14. Are the services helping move your case forward? (Required.) Strongly Agree Agree Disagree Strongly Disagree Question Title * 15. Does your Child Advocate provide you with updated information regarding changes in your case (e.g. changes in placement, court hearings, meetings, etc.)? (Required.) Always Very Often Sometimes Never Question Title * 16. Does your Child Advocate include you in decisions regarding your child(ren)'s mental health, education, and physical health needs? (Required.) Always Very Often Sometimes Never Not Applicable - child is in my care Question Title * 17. Does you Child Advocate consider your cultural and religious background in service planning? (Required.) Always Very Often Sometimes Never Not an area of concern Question Title * 18. Are you involved in the decision making process regarding your child(ren)'s return home or securing another permanent placement for your child(ren)? (Required.) Always Very Often Sometimes Never Not Applicable - child is in my care Question Title * 19. Are you satisfied with your child(ren)'s current placement? (Required.) Very satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied Not Applicable - child is in my care Question Title * 20. Do you have visits and other contact (phone calls, emails) with your child(ren)? (Required.) Always Very Often Sometimes Never Not Applicable - child is in my care Question Title * 21. Are you satisfied with how quickly you received services? (Required.) Very satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied Question Title * 22. What is your overall level of satisfaction with ChildNet's involvement in your case? (Required.) Very Satisfied Somewhat satisfied Somewhat dissatisfied Dissatisfied Question Title * 23. What do you like most about your Child Advocate? Question Title * 24. How can ChildNet do better? Question Title * 25. How did you take this survey? (Required.) Computer Paper Phone In person Done