2024 Southwest Florida Early Steps Provider Survey 2024 Southwest Florida Early Steps Provider Survey Question Title * 1. Please provide your contact information for identification purpose Name City/Town Email Address Phone Number Question Title * 2. Who is your provider (therapist)? Shannon Loseto Andrea Busch Celia Burke Giselle Alvarado Rhonda Gage Shannon Barber Hilda Bernhardt Meghan Burbach Elizabeth Pineda Olga Rodriguez Nataly Salinas Sara Al Nooh Gladys Castillo MARTHA A CRAYCRAFT CIERA EPLING SUSAN FELDMAN RUTHIE FOUST Liliana GARCIA CINDY GODOY Christine Gorski CALLIE GRIFFIN VERONICA LUCAS GARCIA MEGAN MAICKE AMANDA MANSELL JULIA MARTINEZ CARRIE MILLER LISBET M. MONTERO MELISSA MURPHY MARIELLA NARANJO SYDNEY NELSON CAROL PATTON MAYDELIS PENA VERONICA RAMOS ALISSA REINHARDT-SWASEY KATHERINE M RITZ GREYZER RODRIGUEZ OLGA M RODRIGUEZ RIVERA JORJA RUBY BERET SCANGARELLO JENNIFER SMOCK ISABELLE VASQUEZ NADINE VERDURA Other (please specify) Question Title * 3. My Early Steps provider helps me by developing a plan to work with my child and use different targets and strategies during daily routines? Yes No If your answer to the above question is “No” please explain: Question Title * 4. Do you use the 5Q Visual Model to help you remember what to work on between sessions? Yes No If your answer to the above question is “No” please explain: Question Title * 5. My Early Steps provider helps me identify opportunities where I can practice skills with my child during a variety of our family's daily routines in different places and times throughout the day? Yes No If your answer to the above question is “No” please explain: Question Title * 6. Do you receive good communication and feedback from your Early Steps provider and feel supported when you successfully implement the teaching strategies with your child. Yes No If your answer to the above question is “No” please explain: Question Title * 7. Have you learned any strategies or techniques that have made a difference for you/child/family? Yes No If your answer to the above question is “No” please explain: Question Title * 8. Has the relationship that your provider has established with you and your child helped you promote his/her development? Yes No If your answer to the above question is “No” please explain: Question Title * 9. Would you recommend your provider to other families? Yes No If your answer to the above question is “No” please explain: Question Title * 10. Did your provider contact you if they were going to be more than 15 minutes late or needed to cancel the session? Yes No My provider was not late and didn't miss any sessions. If your answer to the above question is “No” please explain: Done