First
Teacher A resource for parents of
birth to school-age children
First Teacher Survey
We would like to
hear your feedback about the First Teacher newsletter and developmental
cards so that we can make our program most beneficial to you. Please help us
by filling out this anonymous questionnaire and mailing it back to us in the
postage paid envelope provided. Your answers make a difference to us in
obtaining financial support for the program.
I read the First Teacher material from the point of view as a
Gender:
Marital Status:
Ethnic Background (Check all that apply):
African American
Caucasian
Latino
Native American
Asian
Pacific Islander
Other
Ages of Children in home:
1. For how long have you been reading the First Teacher material?
2. How often do you read the First Teacher material?
3. Check the topics from the First Teacher material that have been the
most helpful or important for you:
Parenting Tips
Healthy &
Safety
Kindergarten
Readiness
Child
Development
Local
Programs and Agencies
Activities
Other
Please explain:
4. From what sources do you primarily get your information on parenting?
Books
Your Parents
First Teacher
Parenting
Classes
Church
Friends
Spouse
Community
Sources
College
Magazines
Other (Please specify)
5. Please indicate the degree to which you agree or disagree with each
of the following statements:
As a result of
reading the First Teacher newsletters and developmental cards, I have
learned or have been reminded of some parenting issues. As a result . . .
Strongly Disagree 1 Disagree 2 Agree 3
Strongly Agree 4
a. I
have increased the amount of time that I spend reading with my
child.
b. I
have tried new discipline techniques.
c. I
am more aware of signs to watch for to know that my child is
developing normally.
d. I
praise my child more often.
e. I
have tried new anger management techniques.
f. I
have improved my communication with my child.
g. I
have tried new ways to encourage my child’s learning and curiosity.
h. I
have tried new ways to prevent or handle my own stress.
i. I
am monitoring more closely what and how much television my child
watches.
j. I
would feel more comfortable going to school with concerns about my
child.
k. I
feel more confident about where to go if I have a problem with my
child.
l. I
have tried new strategies to help increase my child’s positive
behavior.
m. I
have incorporated new information about health and nutrition for my
child.
n. I
have a greater expectation for my child to take on age-appropriate
responsibilities.
o. I
have increased the level of safety and decreased the number of hazards
in my home.
p. I
have realized the importance of teaching my child to appreciate
diversity (different ethnic groups, people with special needs, older
people, etc.).
q. I
have increased my understanding of the dangers of smoking/secondhand
smoke.
6. Which agencies, programs or services have learned about as a result
of reading
First Teacher material. (ex. Poison Control, Library, Preschools)
Please specify
7. Would you recommend the First Teacher program to other parents?
Have you?
8. Please provide any additional comments here.
Thank you for your participation.
Here's how to reach us:
Toll free: 1-866-943-KIDS (5437)
(206) 855-9189 or (360) 681-2250
Fax - (206) 866-1252