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Parenting Satisfaction Survey

Parenting Satisfaction SurveyGomoWPAdmin2021-05-05T16:51:26+00:00

This questionnaire will help us to evaluate and continually improve the program we offer. We are interested in your honest opinions about the services you have received, whether they are positive or negative. Please answer all of the questions. All data gathered will be protected under the HIPPA privacy act.

* = required
Date
MM slash DD slash YYYY
Which Seminar did you complete today?*
What is your participation number?*
What is your child's age today?*
What Zip Code do you live in?*
How would you rate the quality of the seminar presentation?*
(1 = Poor / 7 = Excellent)
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Did the seminar provide sufficient opportunities for questions?*
(1 = Definitely No / 7 = Definitely Yes)
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Was the seminar interesting for you?*
(1 = Definitely No / 7 = Definitely Yes)
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Did the presenter user clear examples to illustrate parenting issues?*
(1 = Definitely No / 7 = Definitely Yes)
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Did the presenter provide clear explanations?*
(1 = Definitely No / 7 = Definitely Yes)
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Did you gain sufficient knowledge or information to be able to implement the parenting advise you heard about?*
(1 = Definitely No / 7 = Definitely Yes)
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Overall, how would you rate the content of the seminar?*
(1 = Poor / 7 = Excellent)
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Was the seminar helpful in gaining an understanding of what you can do to help your child learn new skills and behavior?*
(1 = Definitely No / 7 = Definitely Yes)
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Do you intend to implement the parenting advise you received?*
(1 = Definitely No / 7 = Definitely Yes)
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Any comments or recommendations?

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