PAIIR Class Questionnaire - SPRING

2015-16 Spring PAIIR Class Survey

Name (optional): 


A red asterisk (*) indicates required questions.


  1. Class Name/ Day of the Week/ Time


  1. How did you find out about the PAIIR program?
    Child Care Provider
    Doctor/Medical Professional
    Friend
    PAIIR Newsletter
    Professional Referral
    Previous Child
    Social Media
    Family Member
    Public Health
    PAIIR Website
    Other:


  1. If other, please explain


  1. By participating in a PAIIR class, I have learned skills to strengthen my relationship with my child.*
     
      1 2 3  
    Agree  Disagree


  1. By participating in a PAIIR class, my parenting has improved.*
     
      1 2 3  
    Agree  Disagree


  1. By participating in a PAIIR class, my child has improved his/her language and communication skills.*
     
      1 2 3  
    Agree  Disagree


  1. By participating in a PAIIR class, my child has improved social skills.*
     
      1 2 3  
    Agree  Disagree


  1. Please share comments from questions 4-7.


  1. PAIIR has provided:
    Mark all that apply
    information on community resources
    opportunities to meet new friends
    current and useful child development information
    current and useful parenting information
    realistic expectations about my child
    realistic expectations about my parenting
    fun parent and child activities
    opportunities to share with and learn from other parents
    other:


  1. If other, please explain or add any additional comments regarding above.


  1. Program staff:
    Mark all that apply
    have built a postive relationship with my family
    are knowledgeable about child development
    are knowledgeable about parenting
    are responsive to parenting needs
    are responsive to early childhood needs
    are respectful at all times
    provide high quality parent education instruction
    provide high quality early childhood education
    help make appropriate referrals when necessary
    other


  1. If other, please explain or add any additional comments regarding above.


  1. Please tell us how we can improve our programming.


  1. Please tell us how we have been helpful to your family.


  1. What classes would you like to see offered?





Northrop