OLC Headstart Family Survey

OGLALA LAKOTA COLLEGE HEAD START/EARLY HEAD START

 
Oglala Lakota College Head Start/Early Head Start would like to learn more about the services in your community & how beneficial those services are to families. Your answers will be summarized and included as part of the program’s Community Assessment. Thank You for taking the time to complete this survey and doing your part to strengthen your community.
1. District/Community:
2. As the parent/guardian completing this questionnaire, what is your relationship to the Child/children enrolled with OLC Head Start/Early Head Start?
3. Please check any of the following items that have affected your family in the last
Year.
4. Check any item that has affected your family due to alcohol abuse or drug abuse.
5. Please check if anyone in your family has experienced any of the following health issues?
6. How would you rate your enrolled child’s relationship with his/her parents?
Very HealthyAverage/Could improveUnhealthy
Mom
Dad
7. 6. Who provides care for your enrolled child while you are at work or school?
8. Check the ways you have volunteered in your enrolled child’s OLC Head Start/Early Head Start program?
9. Check the items that you rate VERY IMPORTANT in your child’s OLC Head Start/Early Head Start program experience?
10. Check the items that you think COULD BE IMPROVED in your child’s OLC Head Start/Early Head Start program?
11. 10. What suggestions do you have that would help improve the program?
12. 11. Overall are you satisfied with the services offered by the program?
13. Overall are you satisfied with the number of days per week?
14. Overall are you satisfied with the education your child is receiving?
15. What additional services do you believe that OLC Head Start/Early Head Start could offer in your community to better meet the needs of families living on the Pine Ridge Indian Reservation?
16. Additional comments: Please add any additional comments you wish to make.
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