FSW Questionnaire - DRAFT
In the following pages, we will ask questions about you and your work with Head Start. We will also ask about the parents and families you support. Some of these questions will be about how you and the parents and families you work with communicate and work together.
We would like to learn about how you and the families in your program work together.
Since September, how many of the families you serve have you personally helped in any of the following ways:
[MARK ONE BOX IN EACH ROW.]
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None |
Some |
Most |
All |
a. Encouraged families to seek or receive services? |
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b. Followed up with families about whether services they have received met their needs? |
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c. Made appointments or arrangements for families to receive services they need? |
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d. Helped families find services they need? |
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e. Advocated on behalf of families to ensure that outside service providers are responsive? |
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Since September, how often have you been able to do the following?
[MARK ONE BOX IN EACH ROW.]
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Never |
Rarely |
Sometimes |
Very often |
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a. Followed up with parents about goals they set for their child |
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b. Followed up with parents about goals they set for themselves |
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c. Offered parents ideas or suggestions about parenting |
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d. Suggested activities for parents and children to do together |
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e. Answered parents’ questions when they came up |
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f. Worked with parents to develop strategies they can use at home to support their child’s learning and development |
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g. Taken parents’ values and culture into account when serving them |
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h. Offered parents books and materials on parenting
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Listed below are some things parents may or may not share with you. Thinking about those you serve, how many parents have personally shared with you the following?
[MARK ONE BOX IN EACH ROW.]
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None |
Some |
Most |
All |
a. How many children they have |
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b. How many adult relatives live in their households |
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c. Their work and school schedules |
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d. Their marital status |
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e. Their parenting styles |
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f. Their employment status |
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g. Their family’s financial situation |
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h. The role that faith and religion play in their household |
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i. Their family’s cultures and values |
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j. What they do outside of the Head Start setting to encourage their children’s learning |
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k. How they discipline their children |
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l. Problems their child is having at home |
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m. Changes happening at home |
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n. Health issues the children have such as food allergies or asthma |
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o. Health issues they or other family members may have |
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4. Please indicate how much you agree or disagree with each of these statements.
[MARK ONE BOX IN EACH ROW.]
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Strongly disagree |
Disagree |
Agree |
Strongly agree |
a. My goal is to help parents reach their full potential |
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b. I help parents to reach their job and educational goals |
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c. I work with parents to figure out the steps to reach their goals |
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d. I encourage parents to make decisions about their children’s education and care |
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e. Parents’ beliefs about childcare and education vary by culture |
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f. I encourage parents to provide feedback on the services and support I provide them |
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g. I am open to using information on different ways to help parents and children |
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h. When it comes to their children, parents are the experts |
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i. Even though my professional or moral viewpoints may differ, I accept that parents are the ultimate decision makers for the care and education of their children |
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5. Below are some attitudes that you may or may not have towards parents and families you serve. For each statement, please indicate how much you agree or disagree.
[MARK ONE BOX IN EACH ROW.]
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Strongly disagree |
Disagree |
Agree |
Strongly agree |
a. Sometimes it is hard for me to support the way parents raise their children |
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b. Sometimes it is hard for me to support the way parents discipline their children |
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c. Sometimes it is hard for me to accept the different cultural beliefs of parents |
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d. Sometimes it is hard for me to support the goals parents have for their children |
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e. Sometimes it is hard for me to work with parents who have different beliefs than me |
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f. Sometimes it is hard for me to accept the choices that parents make |
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6. When planning services for families in your program, how often are you able to take into account the following?
[MARK ONE BOX IN EACH ROW.]
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Never |
Rarely |
Sometimes |
Very often |
a. Information parents share about their child |
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b. Information parents share about their home life |
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c. Families’ values and cultures |
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d. Information parents share about their career aspirations or education goals |
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e. Information parents share about their “life goals” |
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7. Since September, how often have you met with or talked to parents about the following?
[MARK ONE BOX IN EACH ROW.]
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Never |
Rarely |
Sometimes |
Very often |
a. How their child is doing in the Head Start program |
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b. Their child’s abilities |
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c. Their child’s learning or development |
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d. Goals parents have for their child |
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e. Goals parents have for themselves |
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f. How parents are progressing towards goals they have for themselves |
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g. What to expect at each stage of their child’s development |
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h. Problems their child is having in the Head Start program |
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i. Problems parents may be having with work or school |
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j. Parents’ vision for their child’s future |
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k. Parents’ vision for their family’s future |
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8. People vary in what they consider part of their job. Please indicate how much you agree or disagree with the following statements.
Part of my job is to…
[MARK ONE BOX IN EACH ROW.]
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Strongly disagree |
Disagree |
Agree |
Strongly agree |
a. Help families get services available in the community |
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b. Offer parents information about community events |
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c. Respond to issues or questions outside of my normal work hours |
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d. Learn the values and beliefs of the families I serve |
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e. Change my work schedule in response to parents’ work or school schedules |
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f. Learn new ways to assist families |
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g. Change how services are offered to children and families in response to parent feedback |
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h. Talk to parents about how they raise their children |
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i. Help parents reach their goals |
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j. Help parents learn skills needed to succeed |
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k. Consider how culture shapes the way I should approach my work with families |
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l. Make home visits to provide support and to work on goal setting with the families |
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m. Help families meet their basic needs |
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9. If families have a question or a problem comes up during the day, how easy or difficult is it
for them to reach you?
[MARK ONLY ONE BOX.]
Very difficult
Difficult
Easy
Very easy
10. Since September, how many of the families you serve have you given information or referrals on the following:
[MARK ONE BOX IN EACH ROW.]
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None |
Some |
Most |
All |
a. Employment or job training? |
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b. Food banks or pantries? |
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c. Child care subsidies or vouchers? |
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d. Adult education, GED classes, ESL classes, or continuing education? |
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e. Housing assistance? |
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f. Energy or fuel assistance? |
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g. Immigration or legal services? |
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h. Domestic violence? |
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i. Parenting skills group? |
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j. Health insurance ? |
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11. Since September, have you provided referrals for the following
services:
[MARK ONE BOX IN EACH ROW.]
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Yes, referrals were made |
Referrals were needed, but have not been made yet |
No referrals were needed |
a. Health screening for children (medical, dental, vision, hearing, or speech)? |
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b. Developmental assessments for children? |
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c. Counseling services for children? |
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d. Counseling services for parents? |
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e. Social services such as housing assistance, food stamps, financial aid, or medical care? |
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f. Nutritional screening for children? |
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12. People work as Family Service Workers for many reasons. Please indicate how much you
agree or disagree with the following statements:
[MARK ONE BOX IN EACH ROW.]
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Strongly disagree |
Disagree |
Agree |
Strongly agree |
a. I work as a Family Service Worker because I enjoy it |
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b. I see this job as just a paycheck |
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c. I work as a Family Service Worker because I like helping families reach their goals |
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d. If I could find something else to do to make a living I would |
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e. I work as a Family Service Worker because I like helping children and families get the services they need |
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13. In the last ten years, have you received training or coursework on how to recognize signs of:
[MARK ONE BOX IN EACH ROW.]
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Yes |
No |
a. Child abuse and neglect |
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b. Domestic violence |
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c. Substance abuse |
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d. Depression or mental health issues in parents |
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e. Hunger |
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f. Developmental delays in children |
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g. Developmental delays in adults |
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14. How many families do you currently serve?
_________________ families
15. How many centers do you currently serve?
_________________ centers
16. How many years have you been doing this type of work?
_________________ years
17. How long have you worked at your current center(s)?
_________________ years
18. Do you have children living in your household who attend Head Start now?
[MARK ONLY ONE BOX.]
Yes
No
19. Did you ever have a child in your household who attended Head Start?
[MARK ONLY ONE BOX.]
Yes
No
The next set of questions asks about your background.
20. Are you of Hispanic or Latino origin?
[MARK ONLY ONE BOX.]
Yes
No
21. What is your race?
[MARK ALL THAT APPLY.]
White
Black or African American
American Indian or Alaska Native
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian
Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander
22. Do you have a Child Development Associate (CDA) credential?
[MARK ONLY ONE BOX.]
Yes
No
23. Do you have some type of Family Development Credential that supports competency in
working with families?
[MARK ONLY ONE BOX.]
Yes
No
Name of Credential: __________________________________
24. What is the highest level of education you have completed?
[MARK ONLY ONE BOX.]
Less than a high school diploma
High school diploma or GED
Some college, no degree
Associate’s degree
Bachelor’s degree
Graduate school degree
File Type | application/msword |
Author | smoodie |
Last Modified By | Eliza Brown |
File Modified | 2014-04-23 |
File Created | 2014-04-10 |