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pdfOMB No.: 0970-0420
Expiration Date: 1/31/2015
Family and
Early Care and
Education Provider
Relationship Study
Provider Survey
Primary Teacher and Child Care
R
OMB No.: 0970-0420
Expiration Date: 1/31/2015
Provider Survey
Thank you for agreeing to participate in the Family and Early Care and Education Provider Relationship
Study. The results will help us develop surveys that teachers, child care providers, and policymakers can
use to improve children’s care and education.
This survey asks about you and your early education and child care program. We will also ask about the
parents and families of children whose learning and development you support. Some of these questions
will be about how you and the families of children in your care communicate and work together.
All information obtained from this study will be kept private. The report summarizing the findings will
not contain any names or identifying information.
Please follow these steps:
1. Complete the provider survey. It takes approximately 10 minutes.
Please use a black or blue pen to complete this form.
Mark
to indicate your answer.
If you change your answer, mark
right answer.
on the wrong answer, and mark
to indicate the
2. Use the self-addressed, postage-paid envelope, to mail the survey back to:
Family and Early Care and Education Provider Relationship Study
Westat
1600 Research Boulevard, Room RC B16
Rockville, Maryland
20850-3129
Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for
reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not
conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB
number.
The office of Management and Budget has approved the data collection under OMB #0970-0420. OPRE is authorized to conduct
this study under Section 649 of the Head Start Act, as amended by the Improving Head Start for School Readiness Act of 2007,
codified at 42 United States Code (U.S.C.) 9844.
OMB No.: 0970-0420
Expiration Date: 1/31/2015
1.
Since September, how often have you met with or talked to parents about the
following regarding their child?
[MARK ONE BOX IN EACH ROW.]
Never
Rarely
Sometimes
Very often
a.
Their child's experiences in the education and
care setting
b.
Their child's abilities
c.
Their child's learning
d.
Problems their child is having in the education
and care setting
e.
What to expect at each stage of their child's
development
f.
How their child is progressing towards
developmental milestones
g.
Goals parents have for their child
h.
How their child is progressing towards the
parents' goals
2.
Since September, how often have you met with or talked to parents about the
following regarding the education and care their children receive?
[MARK ONE BOX IN EACH ROW.]
Never
a.
Your expectations for the children in your care
b.
The rules you have for children in your care
c.
How they feel about the education and care you
provide
Rarely
Sometimes
Very often
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OMB No.: 0970-0420
Expiration Date: 1/31/2015
3.
Listed below are some things families may or may not share with you. Thinking about
the children and families you serve, for how many children and their families do you
know the following?
I
know…
[MARK ONE BOX IN EACH ROW.]
None
Some
Most
a.
If children have siblings
b.
If children have other adult relatives living in
their households
c.
Their parents' schedules
d.
The marital status of children's parents
e.
The parenting styles of children's parents
f.
The employment status of children's parents
g.
Their financial situation
h.
The role that faith and religion play in children's
households
i.
Their cultures and values
j.
What their families do outside of the education
and care setting to encourage their children's
learning
k.
How parents discipline their child
l.
Changes happening at home
m.
Health issues their children have such as food
allergies or asthma
4.
Since September, how often have you been able to do the following?
All
[MARK ONE BOX IN EACH ROW.]
Never
a.
Help children settle in when they are dropped off
b.
Share information with parents about their
children's day
c.
Offer parents books and materials on parenting
d.
Suggest activities for parents and children to do
together
Rarely
Sometimes
Very often
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OMB No.: 0970-0420
Expiration Date: 1/31/2015
5.
We would like to learn about how you and the families of children in your program
work together.
How often are you able to do the following?
[MARK ONE BOX IN EACH ROW.]
Never
Rarely
Sometimes
Very often
a.
Answer parents' questions when they come up
b.
Work with parents to develop strategies they can
use at home to support their child's learning and
development
c.
Set goals with parents for their child
d.
Offer parents ideas or suggestions about
parenting
e.
Provide parents the opportunity to give feedback
about your performance
6.
Please indicate how much you agree or disagree with each of these statements.
[MARK ONE BOX IN EACH ROW.]
Strongly
disagree
a.
I am open to using information on new and
better ways to teach and care for children
b.
I encourage parents to provide feedback on
my care and teaching practices
c.
I encourage parents to make decisions
about their children's education and care
d.
When it comes to their children, the
parents are the experts
e.
Beliefs and concepts about childcare and
education vary by culture
f.
Even though my professional or moral
viewpoints may differ, I accept that
parents are the ultimate decisionmakers
for the care and education of their children
Disagree
Agree
Strongly
agree
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OMB No.: 0970-0420
Expiration Date: 1/31/2015
7.
When planning activities for children in your program, how often are you able to take
into account the following?
[MARK ONE BOX IN EACH ROW.]
Never
Rarely
Sometimes
Very often
a.
Information parents share about their children
b.
Families' values and cultures
8.
Please indicate how much you agree or disagree with each of these statements.
[MARK ONE BOX IN EACH ROW.]
Strongly
disagree
Disagree
Agree
Strongly
agree
a.
Sometimes it is hard for me to support the
way parents raise their children
b.
Sometimes it is hard for me to support the
way parents discipline their children
c.
Sometimes it is hard for me to support the
goals parents have for their children
d.
Sometimes it is hard for me to work with
parents who do not share my beliefs
9.
People work in care and education settings for many reasons. Please indicate how
much you agree or disagree with the following statements:
[MARK ONE BOX IN EACH ROW.]
Strongly
disagree
a.
I teach and care for children because I
enjoy it
b.
I see this job as just a paycheck
c.
I teach and care for children because I like
being around children
d.
If I could find something else to do to
make a living I would
Disagree
Agree
Strongly
agree
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OMB No.: 0970-0420
Expiration Date: 1/31/2015
10.
People vary in what they consider part of their job. Please indicate how much you
agree or disagree with the following statements.
Par
t
of
my
j
ob
i
s
t
o…
[MARK ONE BOX IN EACH ROW.]
Strongly
disagree
Disagree
Agree
Strongly
agree
a.
Help families get services available in the
community
b.
Offer parents information about community
events
c.
Respond to issues or questions outside of
normal care hours
d.
Change my work schedule in response to
parents' work or school schedule
e.
Learn new ways to teach and care for
children
f.
Change activities offered to children in
response to families' feedback
g.
Talk to parents about how they raise their
children
11.
In the last ten years, have you received training or coursework on how to recognize
signs of:
[MARK ONE BOX IN EACH ROW.]
Yes
a.
Developmental delays in children
b.
Child abuse and neglect
c.
Domestic violence
d.
Substance abuse
e.
Depression or mental health issues in parents
f.
Hunger
No
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OMB No.: 0970-0420
Expiration Date: 1/31/2015
12.
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
13.
Since September, have you personally helped families in any of the following ways:
[MARK ONE BOX IN EACH ROW.]
Yes
a.
Encouraged families to seek or receive services?
b.
Made appointments or arrangements for families to receive services
they need?
c.
Helped families find services they need?
No
The next set of questions asks about your background.
14.
Are you of Hispanic or Latino origin?
[MARK ONLY ONE BOX.]
Yes
No
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OMB No.: 0970-0420
Expiration Date: 1/31/2015
15.
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
16.
Do you have a Child Development Associate (CDA) credential?
[MARK ONLY ONE BOX.]
Yes
No
17.
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
Thank you for helping us with this important study!
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OMB No.: 0970-0420
Expiration Date: 1/31/2015
Place Label OR Print ID in This Box
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| File Type | application/pdf |
| File Modified | 2013-09-05 |
| File Created | 2013-09-05 |