Exit Survey - Programs for Children and Youth

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* 1. Our family received services from: (Please check all that apply)

Infant Development

Supported Child Development

Respite Program

Child and Youth Care

Youth Visions

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* 2. Please rate your satisfaction with the following areas:

	Yes, Definitely	Somewhat	No,never
I am satisfied with the frequency and flexibility of when and where services are offered.	I am satisfied with the frequency and flexibility of when and where services are offered. Yes, Definitely	I am satisfied with the frequency and flexibility of when and where services are offered. Somewhat	I am satisfied with the frequency and flexibility of when and where services are offered. No,never
Staff demonstrated competent skills.	Staff demonstrated competent skills. Yes, Definitely	Staff demonstrated competent skills. Somewhat	Staff demonstrated competent skills. No,never
The individual plan that was developed for my child reflected the choices and priorities identified by my family.	The individual plan that was developed for my child reflected the choices and priorities identified by my family. Yes, Definitely	The individual plan that was developed for my child reflected the choices and priorities identified by my family. Somewhat	The individual plan that was developed for my child reflected the choices and priorities identified by my family. No,never
My requests were responded to in a timely manner.	My requests were responded to in a timely manner. Yes, Definitely	My requests were responded to in a timely manner. Somewhat	My requests were responded to in a timely manner. No,never
Our family was kept up to date on activities for my child.	Our family was kept up to date on activities for my child. Yes, Definitely	Our family was kept up to date on activities for my child. Somewhat	Our family was kept up to date on activities for my child. No,never
I feel that our family was a partner with staff in planning and decision making.	I feel that our family was a partner with staff in planning and decision making. Yes, Definitely	I feel that our family was a partner with staff in planning and decision making. Somewhat	I feel that our family was a partner with staff in planning and decision making. No,never
I was familiar with procedures to complain or express my concerns.	I was familiar with procedures to complain or express my concerns. Yes, Definitely	I was familiar with procedures to complain or express my concerns. Somewhat	I was familiar with procedures to complain or express my concerns. No,never
I feel my culture and family background were respected.	I feel my culture and family background were respected. Yes, Definitely	I feel my culture and family background were respected. Somewhat	I feel my culture and family background were respected. No,never

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* 3. Overall, I would rate my satisfaction with the quality of services that my family received from RMACL as:

Excellent

Above Average

Average

Below Average

Poor

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* 4. What do you like best about the services you received?

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* 5. What could be added or changed to improve the services RMACL provides?

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* 6. Please complete only if you have received RESPITE SERVICES

	Yes	Somewhat	No
I believe the respite program helped my family be better able to cope with having a child with a disability.	I believe the respite program helped my family be better able to cope with having a child with a disability. Yes	I believe the respite program helped my family be better able to cope with having a child with a disability. Somewhat	I believe the respite program helped my family be better able to cope with having a child with a disability. No
I believe that a successful respite placement has contributed to my family's ability to care for our child.	I believe that a successful respite placement has contributed to my family's ability to care for our child. Yes	I believe that a successful respite placement has contributed to my family's ability to care for our child. Somewhat	I believe that a successful respite placement has contributed to my family's ability to care for our child. No
Most or all of the criteria I had for selecting a respite placement were met.	Most or all of the criteria I had for selecting a respite placement were met. Yes	Most or all of the criteria I had for selecting a respite placement were met. Somewhat	Most or all of the criteria I had for selecting a respite placement were met. No

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* 7. Please complete only if you have received SUPPORTED CHILD DEVELOPMENT.

	Yes	Somewhat	No
I feel that my ability to advocate for my child has increased.	I feel that my ability to advocate for my child has increased. Yes	I feel that my ability to advocate for my child has increased. Somewhat	I feel that my ability to advocate for my child has increased. No
I feel I have increased strategies/ideas of how to support and encourage my child's development.	I feel I have increased strategies/ideas of how to support and encourage my child's development. Yes	I feel I have increased strategies/ideas of how to support and encourage my child's development. Somewhat	I feel I have increased strategies/ideas of how to support and encourage my child's development. No
The childcare setting has increased skills in supporting families and children with extra support needs.	The childcare setting has increased skills in supporting families and children with extra support needs. Yes	The childcare setting has increased skills in supporting families and children with extra support needs. Somewhat	The childcare setting has increased skills in supporting families and children with extra support needs. No

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* 8. Please complete only if you have received CHILD AND YOUTH CARE SERVICES

	Yes	Somewhat	No
I believe that the Child and Youth Care program has helped our family to better cope with having a child with a disability.	I believe that the Child and Youth Care program has helped our family to better cope with having a child with a disability. Yes	I believe that the Child and Youth Care program has helped our family to better cope with having a child with a disability. Somewhat	I believe that the Child and Youth Care program has helped our family to better cope with having a child with a disability. No

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* 9. Please answer only if you have received INFANT DEVELOPMENT SERVICES.

	Yes	Somewhat	No
I feel that my ability to advocate for my child has increased.	I feel that my ability to advocate for my child has increased. Yes	I feel that my ability to advocate for my child has increased. Somewhat	I feel that my ability to advocate for my child has increased. No
I feel that my knowledge of child development has increased.	I feel that my knowledge of child development has increased. Yes	I feel that my knowledge of child development has increased. Somewhat	I feel that my knowledge of child development has increased. No
I feel I have increased strategies/ideas of how to support and encourage my child's development.	I feel I have increased strategies/ideas of how to support and encourage my child's development. Yes	I feel I have increased strategies/ideas of how to support and encourage my child's development. Somewhat	I feel I have increased strategies/ideas of how to support and encourage my child's development. No

Thank you for taking the time to respond!