Kids Are First, Inc. Parent Survey Question Title * 1. This survey is complete by: Father Mother Both parents Guardian Other (please specify) Question Title * 2. Family Ethnicity White Black/African American Hispanic Asian/Pacific Islander Native American Other (please specify) Question Title * 3. Name of Head Start Center Carrizo Head Start Cotulla Head Start Las Colonias Head Start LBJ Head Start Pearsall Head Start Rosita Valley Head Start Seco Mines Head Start Question Title * 4. The location of my Head Start center was convenient for my family's participation. Yes No Question Title * 5. Information provided by Head Start included materials for both fathers and mothers. Yes No Question Title * 6. The current program schedule met the needs of my family. Yes No Question Title * 7. If No to Question 6, how could the program meet your needs? Longer Hours Shorter Hours More Days of Service Less Days of Service Question Title * 8. Our family has a need for Early Head Start services (children under age of 3). Yes No Question Title * 9. Are you or a household member currently pregnant? Yes No Question Title * 10. Do you have literacy materials available at home? (books, magazines, newspapers, etc.) Yes No Question Title * 11. I am satisfied with the Head Start services my family receives from: Agree Neutral Disagree Don't Know Classroom Staff Classroom Staff Agree Classroom Staff Neutral Classroom Staff Disagree Classroom Staff Don't Know Administration Administration Agree Administration Neutral Administration Disagree Administration Don't Know Family Service Workers Family Service Workers Agree Family Service Workers Neutral Family Service Workers Disagree Family Service Workers Don't Know Question Title * 12. Head Start has helped my child get ready for school by: Agree Neutral Disagree Don't Know Becoming more independent Becoming more independent Agree Becoming more independent Neutral Becoming more independent Disagree Becoming more independent Don't Know Learning basic concepts in language Learning basic concepts in language Agree Learning basic concepts in language Neutral Learning basic concepts in language Disagree Learning basic concepts in language Don't Know Learning basic concepts in math Learning basic concepts in math Agree Learning basic concepts in math Neutral Learning basic concepts in math Disagree Learning basic concepts in math Don't Know Learning to share and cooperate Learning to share and cooperate Agree Learning to share and cooperate Neutral Learning to share and cooperate Disagree Learning to share and cooperate Don't Know Question Title * 13. Head Start gives my child a: Agree Neutral Disagree Don't Know Safe place to learn Safe place to learn Agree Safe place to learn Neutral Safe place to learn Disagree Safe place to learn Don't Know Clean environment Clean environment Agree Clean environment Neutral Clean environment Disagree Clean environment Don't Know Question Title * 14. What would you identify as your needs for your child concerning our program? (Check all that apply) Nutritional Needs Transportation Needs More activities sent home Health/Dental Needs Mental Health Needs Disability Needs Other (please specify) Question Title * 15. Head Start provides me with quality information through Agree Neutral Disagree Don't Know Newsletters Newsletters Agree Newsletters Neutral Newsletters Disagree Newsletters Don't Know Parent Handbook Parent Handbook Agree Parent Handbook Neutral Parent Handbook Disagree Parent Handbook Don't Know Parent-Teacher Conferences and Home Visits Parent-Teacher Conferences and Home Visits Agree Parent-Teacher Conferences and Home Visits Neutral Parent-Teacher Conferences and Home Visits Disagree Parent-Teacher Conferences and Home Visits Don't Know Home Visits Family Service Workers Home Visits Family Service Workers Agree Home Visits Family Service Workers Neutral Home Visits Family Service Workers Disagree Home Visits Family Service Workers Don't Know Website and electronic messaging (Remind) Website and electronic messaging (Remind) Agree Website and electronic messaging (Remind) Neutral Website and electronic messaging (Remind) Disagree Website and electronic messaging (Remind) Don't Know Flyers announcing upcoming events Flyers announcing upcoming events Agree Flyers announcing upcoming events Neutral Flyers announcing upcoming events Disagree Flyers announcing upcoming events Don't Know Menus Menus Agree Menus Neutral Menus Disagree Menus Don't Know Question Title * 16. Head Start has told me about how to be involved with: Agree Neutral Disagree Don't Know Policy Council Policy Council Agree Policy Council Neutral Policy Council Disagree Policy Council Don't Know Parent Committee Parent Committee Agree Parent Committee Neutral Parent Committee Disagree Parent Committee Don't Know Classroom Volunteering Classroom Volunteering Agree Classroom Volunteering Neutral Classroom Volunteering Disagree Classroom Volunteering Don't Know Program events and family social nights Program events and family social nights Agree Program events and family social nights Neutral Program events and family social nights Disagree Program events and family social nights Don't Know Fatherhood Events Fatherhood Events Agree Fatherhood Events Neutral Fatherhood Events Disagree Fatherhood Events Don't Know Question Title * 17. Head Start has provided me with informational support regarding: Agree Neutral Disagree Don't Know Child development Child development Agree Child development Neutral Child development Disagree Child development Don't Know Community Resources Community Resources Agree Community Resources Neutral Community Resources Disagree Community Resources Don't Know Personal Relationships Personal Relationships Agree Personal Relationships Neutral Personal Relationships Disagree Personal Relationships Don't Know Disabilities Disabilities Agree Disabilities Neutral Disabilities Disagree Disabilities Don't Know Mental Health Mental Health Agree Mental Health Neutral Mental Health Disagree Mental Health Don't Know Health and dental health Health and dental health Agree Health and dental health Neutral Health and dental health Disagree Health and dental health Don't Know Nutrition Nutrition Agree Nutrition Neutral Nutrition Disagree Nutrition Don't Know Question Title * 18. Head Start has enabled me to: Agree Neutral Disagree Don't Know Define my own life goals Define my own life goals Agree Define my own life goals Neutral Define my own life goals Disagree Define my own life goals Don't Know Accomplish and pursue my goals Accomplish and pursue my goals Agree Accomplish and pursue my goals Neutral Accomplish and pursue my goals Disagree Accomplish and pursue my goals Don't Know Understand and carry out my role as the primary educator for my child Understand and carry out my role as the primary educator for my child Agree Understand and carry out my role as the primary educator for my child Neutral Understand and carry out my role as the primary educator for my child Disagree Understand and carry out my role as the primary educator for my child Don't Know Question Title * 19. My child's teacher: Agree Neutral Disagree Don't Know Worked with me to plan my child's learning and development Worked with me to plan my child's learning and development Agree Worked with me to plan my child's learning and development Neutral Worked with me to plan my child's learning and development Disagree Worked with me to plan my child's learning and development Don't Know Planned activities around my child's individual needs Planned activities around my child's individual needs Agree Planned activities around my child's individual needs Neutral Planned activities around my child's individual needs Disagree Planned activities around my child's individual needs Don't Know Helped me have a better understanding of my child's social and emotional development Helped me have a better understanding of my child's social and emotional development Agree Helped me have a better understanding of my child's social and emotional development Neutral Helped me have a better understanding of my child's social and emotional development Disagree Helped me have a better understanding of my child's social and emotional development Don't Know Question Title * 20. When I requested help for my child's social and emotional develop, it was: Agree Neutral Disagree Don't Know Delivered in a timely manner Delivered in a timely manner Agree Delivered in a timely manner Neutral Delivered in a timely manner Disagree Delivered in a timely manner Don't Know Useful and successful Useful and successful Agree Useful and successful Neutral Useful and successful Disagree Useful and successful Don't Know Supportive of my family's values Supportive of my family's values Agree Supportive of my family's values Neutral Supportive of my family's values Disagree Supportive of my family's values Don't Know Question Title * 21. Head Start centers are friendly and inviting for families Agree Neutral Disagree Don't Know Agree Neutral Disagree Don't Know Question Title * 22. Head Start centers are friendly and inviting for fathers Agree Neutral Disagree Don't Know Agree Neutral Disagree Don't Know Question Title * 23. Head Start has provided me with information on disabilities. Yes No Question Title * 24. If yes, when I requested help for my child's disabilities, the services were: Agree Neutral Disagree Don't Know Delivered in a timely manner Delivered in a timely manner Agree Delivered in a timely manner Neutral Delivered in a timely manner Disagree Delivered in a timely manner Don't Know Useful and successful Useful and successful Agree Useful and successful Neutral Useful and successful Disagree Useful and successful Don't Know Supportive of my family's values Supportive of my family's values Agree Supportive of my family's values Neutral Supportive of my family's values Disagree Supportive of my family's values Don't Know Question Title * 25. My child attends child care before or after Head Start. Yes No Question Title * 26. There was turnover in the people working with my child and family this year (e.g., teachers, teacher assistants, or family service worker). Yes No Question Title * 27. If yes, this turnover had what type of effect on my family's experience: Negative Somewhat Negative Neutral Somewhat Positive Positive Negative Somewhat Negative Neutral Somewhat Positive Positive Question Title * 28. My family's biggest stressors this year were: (Check all that apply) My child's disabilities Educational or Job Training Employment Financial Housing Martial or Personal Medical or Dental Mental Health Transportation Other (please specify) Question Title * 29. Do you agree with the home visits required by the program? Yes No Comments: Question Title * 30. My family receives the following services. (Check all that apply) WIC Housing TANF SNAP Unemployment Medicaid/CHIPS Transportation Services Social Security or SSI Mental Health Services Disability Services Question Title * 31. My biggest concern for my family at this time is: Question Title * 32. How much time does your child spend watching television, playing video game or on a computer/tablet/phone? All 1 hour 2 hours 3 hours 4+ hours Question Title * 33. In the last 12 months did you or other adults in your household cut the size of meals or skip meals due to the lack of food? Yes No Question Title * 34. In the last year have you needed or received assistance from a food bank or food pantry. Yes No Question Title * 35. Other comments I have: Done
