Progress Evaluation Survey – Families Forward Program Evaluation Familes Forward 1. How would you rate your child’s attendance in school? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 2. How would you rate your child’s attendance in school? AFTER SERVICES(Required) 1 2 3 4 5 6 7 3. How would you rate your child’s academic achievement in school before and Currently receiving services? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 4. How would you rate your child’s academic achievement in school before and Currently receiving services? AFTER SERVICES(Required) 1 2 3 4 5 6 7 5. How would you rate your ability to communicate affectively with your children before and Currently services? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 6. How would you rate your ability to communicate affectively with your children before and Currently services? AFTER SERVIVES(Required) 1 2 3 4 5 6 7 7. How would you rate your attachment and relationship with your children? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 8. How would you rate your attachment and relationship with your children? AFTER SERVICES(Required) 1 2 3 4 5 6 7 9. How would you rate housing stability? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 10. How would you rate housing stability? AFTER SERVICES(Required) 1 2 3 4 5 6 7 11. How would you rate your financial stability? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 12. How would you rate your financial stability? AFTER SERVICES(Required) 1 2 3 4 5 6 7 13. How would you rate you child’s behavior’s (tantrums, fighting, arguing, following directions etc.) in the home? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 14. How would you rate you child’s behavior’s (tantrums, fighting, arguing, following directions etc.) in the home? AFTER SERVICES(Required) 1 2 3 4 5 6 7 15. How would you rate your child’s ability to get along with other children? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 16. How would you rate your child’s ability to get along with other children? AFTER SERVICES(Required) 1 2 3 4 5 6 7 16. How would you rate your child’s ability to get along with other children? AFTER SERVICES(Required) 1 2 3 4 5 6 7 17. How would you rate your overall family functioning? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 18. How would you rate your overall family functioning? AFTER SERVICES(Required) 1 2 3 4 5 6 7 19. How would your rate your satisfaction in your role as a parent? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 20. How would your rate your satisfaction in your role as a parent? AFTER SERVICES(Required) 1 2 3 4 5 6 7 21. How would you rate your confidence in your parenting ability? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 22. How would you rate your confidence in your parenting ability? AFTER SERVICES(Required) 1 2 3 4 5 6 7 23. How would you rate your ability to find and seek supportive resources? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 24. How would you rate your ability to find and seek supportive resources? AFTER SERVICES(Required) 1 2 3 4 5 6 7 25. How would you rate your feeling of having support in your role as a parent? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 26. How would you rate your feeling of having support in your role as a parent? AFTER SERVICES(Required) 1 2 3 4 5 6 7 27. How would your rate your levels of daily stress? BEFORE SERVICES(Required) 1 2 3 4 5 6 7 28. How would your rate your levels of daily stress? AFTER SERVICES(Required) 1 2 3 4 5 6 7 29. In the box below, please provide further information regarding your experiences; what has worked well? What would you like more of regarding receiving parent coaching/mentoring through Minnesota CarePartner? How could we better serve your needs? How could we be more culturally responsive? Other feedback or commentsYour NAME (optional) Staff Name(Required) Untitled
