Family ASL Class - Parent Survey

We value your opinion!

Please tell us what you think about Connect Society’s Family ASL Class. 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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	Excellent	Very Good	Good	Fair	Unsatisfactory
	Excellent	Very Good	Good	Fair	Unsatisfactory
Please rate the services you have received

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Family ASL Class - Parent Survey

Your First Name (Optional)

Your Last Name (Optional)

Because of participation in Connect Society’s Family ASL Class:

A. Child Skill Development*

My child’s skills are better in the following areas:



Communication
Vocabulary
Ability to interact with other family members more effectively

B. Parent Skill Development*

I have better skills in the following areas:



Communication
Vocabulary
Ability to interact with my child
Generally, communication within our family is better

C. Sign Language Instructors Support*



The instructor(s) worked well with my child
The instructor(s) worked well with me and other family members
Ability to interact with my child
The instructor(s) understood my family and what is important to us

Because of Connect Society:

Because of Connect Society:*



My child is learning new things that are important to him/her
My child can communicate better
Our family can communicate better
We get along better as a family
I have information and resources about sign language/deafness
I feel more connected to my community

Your Comments:

a) Why did you like/dislike about the sign class?*

Write Here

b) How did you expand your communication abilities?*

Write Here

c) How did your child(ren) expand their communication abilities?*

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d) How was your relationship with your child enhanced?*

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e) What would have made it even better?*

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f) Is there anything else you want to tell us?*

Write Here

Overall, I would rate the services I receive from Connect Society …

*



Please rate the services you have received

Contacting the Program

Marilyn Calkins

Literacy Coordinator

Edmonton

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

	Agree (yes)	Not Sure (Don't Know)	Disagree (No)	Does Not Apply (N/A)
	Agree (yes)	Not Sure (Don't Know)	Disagree (No)	Does Not Apply (N/A)
Communication
Vocabulary
Ability to interact with other family members more effectively

	Agree (yes)	Not Sure (Don't Know)	Disagree (No)	Does Not Apply (N/A)
	Agree (yes)	Not Sure (Don't Know)	Disagree (No)	Does Not Apply (N/A)
Communication
Vocabulary
Ability to interact with my child
Generally, communication within our family is better

	Agree (yes)	Not Sure (Don't Know)	Disagree (No)	Does Not Apply (N/A)
	Agree (yes)	Not Sure (Don't Know)	Disagree (No)	Does Not Apply (N/A)
The instructor(s) worked well with my child
The instructor(s) worked well with me and other family members
Ability to interact with my child
The instructor(s) understood my family and what is important to us

	Agree (Yes)	Not Sure (Don’t Know)	Disagree (No)	Does Not Apply (N/A)
	Agree (Yes)	Not Sure (Don’t Know)	Disagree (No)	Does Not Apply (N/A)
My child is learning new things that are important to him/her
My child can communicate better
Our family can communicate better
We get along better as a family
I have information and resources about sign language/deafness
I feel more connected to my community

Family ASL Class - Parent Survey

We value your opinion!

Family ASL Class - Parent Survey

Because of participation in Connect Society’s Family ASL Class:

Because of Connect Society:

Your Comments:

Overall, I would rate the services I receive from Connect Society …

Your form has been submitted

Family ASL Class - Parent Survey

Because of participation in Connect Society’s Family ASL Class:

Because of Connect Society: