Early Intervention Program Survey

We value your opinion!

Please tell us what you think about Connect Society’s Early Intervention Program services you have received. It will take you approximately 15-20 minutes to complete the survey. You do not have to sign your name. Your answers are confidential and will remain anonymous. The information will be used to help us serve families better. Thank you.

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Contacting the Program

Kathy Holinski

Early Intervention Program Manager / Family Support Manager

Edmonton

6240 – 113 Street
Edmonton, AB
T6H 3L2
780-454-9581
kholinski@connectsociety.org

	regularly	occasionally	once only	not at all
	regularly	occasionally	once only	not at all
Individual visits in your home or at other locations
Parent & child groups (music together, parent groups)
Phone/email contact

	Agree	Neither agree/disagree	Disagree	Not applicable (Did not need help)
	Agree	Neither agree/disagree	Disagree	Not applicable (Did not need help)
Have identified priorities/goals for my family/child (For example, I have made a new goal to learn new strategies to help my child talk).
Have tried more ways to help with my child's development.

	agree	neither agree/disagree	disagree	not applicable/did not help
	agree	neither agree/disagree	disagree	not applicable/did not help
Feel comfortable in my ability to support my child's development.
Use my child's interests and strengths throughout the day to encourage his/her development
Feel that my child's communication skills are better.
Feel that overall, my child's development skills are better.
Know more about community resources and am using them as needed.
Feel confident in the choices I have made for my child.
Am able to manage problems, difficulties and challenges in supporting my child.
Have learned about appropriate preschool programs (if applicable).
Feel supported by the program.

	agree (yes)	not sure (do not know)	disagree (no)	does not apply (n/a)
	agree (yes)	not sure (do not know)	disagree (no)	does not apply (n/a)
I understand my role in creating opportunities for my child to communicate to me
I have increased the times in the day that I encourage my child's communication
I am more confident and able to support my child's language skills
I have increased my own basic skills in American Sign Language (ASL)
Communication within our family is better
My child and I interact more

Early Intervention Program Survey

We value your opinion!

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Kathy Holinski

Contact Kathy:

EARLY INTERVENTION PROGRAM

EARLY CHILDHOOD SERVICES

FAMILY SUPPORT SERVICES

STAY AND STUDY PROGRAM

COMMUNITY LIVING SUPPORT SERVICES

LITERACY PROGRAMS

DEAFBLIND SUPPORT SERVICE

EARLY CHILDHOOD SERVICES

LITERACY PROGRAMS

Reception Hours

General Inquiries

Edmonton Address

Calgary Address

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