Early Years Services Survey - New Item

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Connexus Community Resources

Connexus Community Resources

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Early Years Services Survey - New Item

⚠ There are items in this form that require your attention

1. What Early Years Serivces did you receive?

Individual

Early Years Resource Centre

Infant Development Program

Community Action Program for Children (CAPC)

Select all that apply.

2. Are you satisfied with the services you have received?

Yes

No

Specify your own value:

Comments

3. Were there any barriers to receiving services?

Yes

No

Specify your own value:

Comments

4. Where could we do better?

5. Was the importance of confidentiality and consent discussed?

Yes

No

Specify your own value:

Comments

6. Was confidentiality maintained?

Yes

No

Specify your own value:

Comments

7. Do staff treat you and/or your family professionally with respect and courtesy?

Yes

No

Specify your own value:

Comments

8. Do you feel that you know more about your child/ren's development from using Early Years services?

Comments:

9. What programs do you wish we offered?

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Attachments:

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⚠ There are items in this form that require your attention

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