2024 Gulf Central Early Steps Sub-Contractor Provider Feedback

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* 1. Please provide your contact information for identification purpose

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* 2. Who is your provider (therapist)?

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* 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?

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* 4. Do you use the 5Q Visual Model to help you remember what to work on between sessions?

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* 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?

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* 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?

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* 7. Have you learned any strategies or techniques that have made a difference for you/child/family?

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* 8. Has the relationship that your provider has established with you and your child helped you promote his/her development?

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* 9. Would you recommend your provider to other families?

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* 10. Did your provider contact you if they were going to be more than 15 minutes late or needed to cancel the session?

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