PAT - Parent Satisfaction Survey



Parent Educator Name
 
First Name
M.
Last Name

First Name / Last Name

Name (Optional)
 
First Name
M.
Last Name

First Name / Last Name

Email Address (Optional)
 
 
 
 
Would you like someone to contact you regarding this survey?
 


 
 
 
How would you rate your overall experience with Parents as Teachers?
 





 
 
 
How often do you ask your PE questions about the lesson?
 





 
 
 
How often do you ask your PE for advice that is not related to the lesson plan?
 





 
 
 
How often is the information you get from your PE something you have never heard or read before?
 





 
 
 
How often do you do the parent-child activities suggested by your PE?
 





 
 
 
How often do you try to use discipline and guidance techniques like those suggested by PAT or your PE?
 





 
 
 
How much of the time are the activities you do with your child things you learned from PAT or your PE?
 





 
 
 
How often do you buy toys or play materials because they wer listed on the PAT handouts or recommended by your PE, or because your child liked playing with something like those toys provided during a home visit?
 





 
 
 
How often have you tried something new to do with your child because of your involvement with PAT?
 





 
 
 
How often does your PE ask you whether you have tried the suggestions from previous home visits?
 





 
 
 
I am very satisfied with Parents as Teachers.
 





 
 
 
I would recommend this program to a friend.
 





 
 
 
Parents as Teachers has helped me be my child's best first teacher.
 





 
 
 
Parents as Teachers has strengthened my child's development.
 





 
 
 
I set and reached a child development and/or parenting goal with my parent educator.
 





 
 
 
 
 
 
 
 
 
What has been most helpful to you and your children?
 
 
 
 
What could be improved?
 
 
 
 
Additional Comments