The National Technical Assistance Center for Preschool Development Grants B-5 Parent and Early Childhood Partner Groups

Instrument 2

PDG B-5 Parent and Early Childhood Professional Partner Group

Feedback Survey

The survey that participants complete after the Parent and Early Childhood Professional Provider Partner Group meeting is designed to ensure that they believe their cultures/lived experiences/beliefs & values were respected and supported.

Participants are asked to the following questions:

Q1: The facilitator showed respect for you and your lived experiences.

Q2: The facilitator encouraged the participation of all members.

Q3: Did you feel comfortable participating in the discussion?

Q4: Do you believe the discussion group format was effective for sharing feedback on your experiences with early childhood systems and services?

Q5: Did you feel as though your race, ethnicity and/or culture was respected by the facilitator?

Q5 follow-up:  If yes, in what way?

Q6: Did you tell organizers that you required accommodation(s) to participate in the discussion?

Q6 follow-up: If yes, were your needs met so you could participate fully in the discussion?

A Federal agency may not conduct or sponsor, and no individual or entity is required to respond to, nor shall an individual or entity be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless that collection of information displays a currently valid OMB Control Number. The OMB # is 0970-0630 and the expiration date is 3/31/2027. If you have questions or comments, please contact Judy Willgren [email protected]