Family Tier 2 Survey

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Tier 2- Family Survey

MM slash DD slash YYYY
Name of the consultant you worked with(Required)
Please select your gender:

Please select the best answer for each statement.

1. The consultant helped me with my child/family concerns.
2. The consultant listened and responded to my concerns about my child.
3. The consultant developed a supportive relationship with my family and child.
4. The consultant helped me to improve my understanding of my child’s situation.
5. The consultant provided referrals and resources to help my child or family get the services we needed.
6. The consultant communicated with my family in a professional manner.
7. The consultant included my family in the plan for services and support.
8. How likely are you to recommend this service to a friend?
9. Consultation provided my family with strategies to understand and constructively work with challenging behavior.
10. Overall, I was satisfied with the service my family received.