Family Outcomes Survey
Section B: Helpfulness of Early Intervention

The Early Intervention Colorado program uses the Family Outcomes Survey to gather input on the quality of early intervention service delivery to infants, toddlers and their families. Your feedback helps identify areas for improvement in order to enhance the experience for all families we serve. For more information, please view the Child and Family Outcomes FAQ.

Survey Identification #:
* 🛈

You can find this number on the hard copy of the survey
mailed to you, or by calling Tracy Sperry at 720-793-4419.

Instructions: Your feedback is important to us! For each question below, please select how helpful early intervention has been to you and your family over the past year.

Select a number 1 – 5 (1=Not at all helpful to 5 = Extremely Helpful)

Knowing Your Rights

How helpful has early intervention been in:

	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Giving you useful information about services and supports for you and your child?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Giving you useful information about your rights related to your child’s special needs?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Giving you useful information about who to contact when you have questions or concerns?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Giving you useful information about available options when your child leaves the program?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Explaining your rights in ways that are easy for you to understand?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable

Communicating Your Child's Needs

How helpful has early intervention been in:

	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Giving you useful information about your child’s delays or needs?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Listening to you and respecting your choices?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Connecting you with other services or people who can help your child and family?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Talking with you about your child and family’s strengths and needs?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Talking with you about what you think is important for your child and family?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Developing a good relationship with you and your family?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable

Helping Your Child Develop and Learn

How helpful has early intervention been in:

	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Giving you useful information about how to help your child get along with others?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Giving you useful information about how to help your child learn new skills?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Giving you useful information about how to help your child take care of his/her needs?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Identifying things you do that help your child learn and grow?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Sharing ideas on how to include your child in daily activities?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable
Working with you to know when your child is making progress?	(1) Not at all helpful	(2) A little helpful	(3) Somewhat helpful	(4) Very helpful	(5) Extremely helpful	Not Applicable

Additional Comments:

Please select one *

My child or family member currently receives early intervention services, or received early intervention services within the past 6 months.

I am completing the survey on behalf of the family.

What was the family's original method of survey completion? *

Report abuse

Family Outcomes Survey Section B: Helpfulness of Early Intervention

Knowing Your Rights

Communicating Your Child's Needs

Helping Your Child Develop and Learn

Family Outcomes Survey
Section B: Helpfulness of Early Intervention