Helping families with sensory sensitive children navigate typical environments.

Caregiver Coaching Feedback Survey

How satisfied are you with *

	Very Unsatisfied	Unsatisfied	Neutral	Satisfied	Very Satisfied
Scheduling	Very UnsatisfiedScheduling Very Unsatisfied	UnsatisfiedScheduling Unsatisfied	NeutralScheduling Neutral	SatisfiedScheduling Satisfied	Very SatisfiedScheduling Very Satisfied
Connecting to the technology	Very UnsatisfiedConnecting to the technology Very Unsatisfied	UnsatisfiedConnecting to the technology Unsatisfied	NeutralConnecting to the technology Neutral	SatisfiedConnecting to the technology Satisfied	Very SatisfiedConnecting to the technology Very Satisfied
Coaching session overall	Very UnsatisfiedCoaching session overall Very Unsatisfied	UnsatisfiedCoaching session overall Unsatisfied	NeutralCoaching session overall Neutral	SatisfiedCoaching session overall Satisfied	Very SatisfiedCoaching session overall Very Satisfied

How knowledgeable was our staff? *

Very Unknowledgeable	Unknowledgeable	Neutral	Knowledgeable	Very Knowledgeable
Very UnknowledgeableItem #1 Very Unknowledgeable	UnknowledgeableItem #1 Unknowledgeable	NeutralItem #1 Neutral	KnowledgeableItem #1 Knowledgeable	Very KnowledgeableItem #1 Very Knowledgeable

How helpful were we in providing the support you were looking for? *

Very Unhelpful	Unhelpful	Neutral	Helpful	Very Helpful
Very UnhelpfulItem #1 Very Unhelpful	UnhelpfulItem #1 Unhelpful	NeutralItem #1 Neutral	HelpfulItem #1 Helpful	Very HelpfulItem #1 Very Helpful

How likely are you to recommend Caregiver Coaching to a friend? *

Very unlikely	Unlikely	Neutral	Likely	Very likely
Very unlikelyRecommend us to a friend Very unlikely	UnlikelyRecommend us to a friend Unlikely	NeutralRecommend us to a friend Neutral	LikelyRecommend us to a friend Likely	Very likelyRecommend us to a friend Very likely

Additional feedback or comments