Page 103 - PROGRAM IMPACT AND SATIFACTION AS SEEN THROUGH THE EYES OF HEAD START PARENTS

7a. I have received a referral for a resource or service from my Family Advocate or Head Start staff.
 Yes (Continue to Question 7b.)  No (Skip to Question 8a.)
7b. I had difficulty receiving or contacting the resource or service that was referred to me by Head Start.
 Yes (Continue to Question 7c.)  No (Skip to Question 8a.)
7c. I had difficulty in receiving or contacting the resource or service because: (Check ALL that apply.)
 There were no available spaces or there was a long wait list.
 The service or resource was not offered in a language I could understand.  I did not qualify for the service I was referred to.
 My family no longer needed the service.
7d. The type of resource or service I was referred to was: (for example, a resource for my child with special needs, a child care service, a family counseling service, etc.)
_____________________________________________________________________________________
 Something was wrong with the phone number.
(for example, the number was no longer in service, was wrong, was disconnected, etc.)
 The resource or service did not serve the area or zip code where my family lives.
 The copayment or financial cost was a financial burden.
 I did not have transportation to or from the resource or service.
 Other: _____________________________________________________________________________
8a. I have difficulty finding a job or continuing my education.
 Yes (Continue to Question 8b.)  No (Skip to Question 9a.)  I have a job or am going to school. (Skip to Question 9a.)
8b. I had difficulty finding a job or continuing my education because: (Check ALL that apply.)  I did not have reliable transportation.
 I did not have legal documentation.
 I had other commitments such as: ______________________________________________________
 I did not have reliable child care.
 I did not have strong English or writing skills.
 I did not know where to go to find work or schooling.
 Other: _____________________________________________________________________________
Questions about Your Involvement in Committee Meetings, Events and Trainings
9a. I had difficulty in participating in Head Start committee meetings, events, or trainings.
 Yes  No (Skip to Question 10)
9b. I have not been able to participate in Head Start committee meetings, events, or trainings because: (Check ALL that apply.)
 I did not have reliable transportation.  I did not know the opportunities existed.
 I have other commitments such as: ______________________________________________________
 My work or school schedule interfered.  I did not feel comfortable participating.
 I did not have reliable child care.  I did not know how to participate.
 Other: _____________________________________________________________________________
10. I prefer to participate in a committee meeting, event or training in:
 Armenian  English  Spanish  Another language: ______________________________ 11. I can most likely attend committee meetings, events, or trainings that are held in the:
 Morning  Afternoon  Evening
CCRC’s Head Start Parents December 2014
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