SPAN Satisfaction Survey
Required Required Question(s)

Demographic Information
 
Required 1.

Are you a parent?
Yes
No
Required 2.

Are you a professional?
Yes
No
Required 3.

How old is your child?
0 - 2
3 - 5
6 - 11
12 - 14
15 - 21
Over 21
Required 4.

Is your child male or female?
Male
Female
Required 5.

Does your child have a disability or special health care need?
Yes
No
6.

If yes, what is the disability?
 

  • 50 characters left.
Required 7.

In what type of setting is your home?
Urban
Suburban
Rural

Telephone Technical Assistance
 
Required 8.

Have you received technical assistance from SPAN in the past two years?
Yes
No
9.

If yes, how helpful was the information you received over the phone?
Very helpful
Helpful
Slightly helpful
Not helpful
10.

Did you feel more confident as a result?
Yes
No
11.

Did the information help you to receive some of the services your child needed?
Yes
No
12.

Would you have been able to receive the same level of assistance without SPAN?
Yes
No

Trainings
 
Required 13.

Have you participated in any SPAN training in the past two years?
Yes
No
14.

If yes, how helpful was the information you received at the training?
Very helpful
Helpful
Slightly helpful
Not helpful
15.

Did you feel more confident as a result of the training?
Yes
No
16.

Have you been more effective or involved since you attended the workshop?
Yes
No
17.

Did the information help you to receive some of the services your child needed?
Yes
No
18.

Would you have been able to receive the same level of assistance without SPAN?
Yes
No

In-Person Support
 
Required 19.

Have you received in-person support from SPAN in the past two years?
Yes
No
20.

If yes, how helpful was the support you received?
Very helpful
Helpful
Slightly helpful
Not helpful
21.

Did you feel more confident as a result?
Yes
No
22.

Did the information help you to receive some of the services your child needed?
Yes
No
23.

would you have been able to receive the same level of assistance without SPAN?
Yes
No

SPAN Materials

(information packets, brochures, E-Newsletter, The Bridge, Action Alerts)
 
Required 24.

Have you received materials from SPAN in the past two years?
Yes
No
25.

If yes, how helpful were the materials you received?
Very helpful
Helpful
Slightly helpful
Not helpful
26.

Did you feel more confident as a result?
Yes
No
27.

Did the materials help you to receive some of the services your child needed?
Yes
No
28.

Would you have been able to receive the same level of assistance without SPAN?
Yes
No

Other Services
 
Required 29.

Have you received any other services from SPAN in the past two years?
Yes
No
30.

If yes, what was the service?
 

  • 350 characters left.
31.

How helpful was the service?
Very helpful
Helpful
Slightly helpful
Not helpful
32.

Did you feel more confident as a result?
Yes
No
33.

Did the service help you to receive some of the services your child needed, or achieve some other important goal?
Yes
No
34.

Would you have been able to achieve that goal without SPAN?
Yes
No