School Satisfaction Survey

School Satisfaction Survey

Type of School*

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What district is your school located in?*

Name of School*

Which school do you represent?

School's Address*

Length in School Success Initiative*

How long has your school been involved in the School Success Initiative?

Point of Contact - Name*

Who is the best point of contact for the School Success Initiative at the school you represent?

Point of Contact - Email*

Servicing Agency*

Which agency is servicing your school for the School Success Initiative?

Therapist*

What therapist is providing you with support at your school? 

Quality of Service*

How would you rate the quality of the service your school and students have received?

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Type of Assistance Received*

Did you receive the type of assistance that you were seeking from the program?

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Students' Needs Met*

To what extent has the program met your students’ needs?

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Your Needs Met*

To what extent has the program met your needs?

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Satisfaction with Help Received*

How satisfied were you with the amount of help you and your students received?

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Sudents' Behavior*

Have you noticed an improvement in the students’ behavior?

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Dealing with Problems*

Has the program, helped your school to deal more effectively with problems that arise amongst your students?

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Satisfaction with the Program*

In an overall sense, how satisfied are you with the program you and your students have received?

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Recommendations*

Would you recommend the School Success Initiative program to other schools?

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Applied to Other Family Members*

Has the program helped you to develop skills that can be applied to other family members?

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Benefits*

Please state three things that benefitted you most from the program.

Improvements*

Please state any areas of improvement that you would recommend for the program.

Additional Comments*

Please provide any additional comments or suggestions regarding the School Success Initiative program here.

Contact Information

First Name*

Last Name*

Phone*

Phone

Email*

Position/Title*

Organization Name*

Organization Address*

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