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Thank you for helping us by taking this survey.
Childkind Stakeholder Survey
We sincerely want to thank you for your time in completing this survey as it helps us continue to become a better agency. If should only take you about 5-10 minutes to complete. Childkind’s mission is to empower families caring for children with special healthcare and developmental needs, promoting safe, stable, and nurturing homes.
Date
*
MM slash DD slash YYYY
1. How are you connected to Childkind?
Department of Family and Children Services (DFCS)
Department of Behavioral or Mental Health
Social Service Community Provider
School System
Childrens Health Care of Atlanta
Other Medical Provider
Childkind Vendor
Other
2. Does our mission coincide with the needs of your department's/agency's youth and families or community being served?
*
Strongly Disagree
Disagree
Agree
Strongly Agree
Not Applicable
3. Do you believe that Childkind is achieving its mission?
Strongly Disagree
Disagree
Agree
Strongly Agree
Not Applicable
4. Childkinds reputation within the community and/or your organization is favorable
Strongly Disagree
Disagree
Agree
Strongly Agree
5. Childkind's staff responded to questions, referrals, the need for information, etc.- in a timely manner.
Strongly Disagree
Disagree
Agree
Strongly Agree
6. A supervisor or administrator was available in a timely manner, if you needed to speak to them.
Strongly Disagree
Disagree
Agree
Strongly Agree
Not Applicable
7. Childkind works with other community organizations/agencies and governmental entities to advocate on behalf of the youth and families it serves.
Strongly Disagree
Disagree
Agree
Strongly Agree
Not Applicable
8. Childkind provides culturally sensitive services for children and families.
Strongly Disagree
Disagree
Agree
Strongly Agree
Not Applicable
QUESTIONS 9-12:
These questions are for those who have at least one youth in a Childkind Program and received at least one service. If this is not your situation please skip to question 13.
9. Please check off all service(s) your youth was involved in.
Childkind Foster Home
Nursing support
Behavioral
Mental Health
Training
Case Management
10. I am satisfied with the program/services that my youth/family is receiving or has received from Childkind.
Strongly Disagree
Disagree
Agree
Strongly Agree
11. I believe Childkind's program/services helped my youth/family.
Strongly Disagree
Disagree
Agree
Strongly Agree
12. I would refer other youth/families and/or recommend Childkind to others?
Strongly Disagree
Disagree
Agree
Strongly Agree
QUESTIONS 13-16
These questions are only for workers that had a youth in a Childkind Foster Home. Skip to Question 17 if this does not apply to your situation.
13. My foster youth received excellent care in the foster home.
Strongly Disagree
Disagree
Agree
Strongly Agree
14. The foster parent(s) responded to any questions or requests I had in a timely manner.
Strongly Disagree
Disagree
Agree
Strongly Agree
15. I felt there was good cooperation between the foster parent(s), agency social worker, and myself.
Strongly Disagree
Disagree
Agree
Strongly Agree
16. The agency's (FSC) case manager understood and followed the case plan.
Strongly Disagree
Disagree
Agree
Strongly Agree
17. Please supply the names of the staff members you worked with.
18. Comment Section – Please write any additional information you would like us to know with regard to your experience with Childkind Staff:
Thank you for taking the time to complete the survey.
Below you can add your name and/or email. This is totally optional.
Name
First
Last
Email
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