3rd Grade Parent/Caregiver Survey

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Your child recently received a Mental Health Coping Kit. We ask that you take a few moments to provide us with feedback. Thank you!

Please put a check mark next to all items from the kit that you think MIGHT be useful for your child or family.

Putty

Acupressure Ring

Coping Strategy Poster

I Am Brave Sticker

Every Day Is A Fresh Start Sticker

Bookmark

Yoga Cards

Spiral Fidget

Twist Cube

Finger Stretch

Scented Pencil Grip

Overall, did this kit provide your family with some useful coping tools?

Yes

Clear selection

Do you think this kit should be given to future students?

Yes

Clear selection

Reflecting on the video that was included in the family letter, what did you take as the overall message? There is no right or wrong answer here, we just want to know your impression. Please check all that apply. *

I did not watch the video.

The video helped me and my child understand how the parts of the brain help me respond to my emotions.

The video helped give me language to talk with my child about emotions.

The video helped my child and I understand how the kit contents could help them manage big feelings.

The video was a waste of my time. I already knew all of this.

The video was confusing and I did not understand or find it helpful.

Required

Do you have ideas for other items we could add to future kits? Is there any other feedback you would like to share?

Submit

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This form was created inside of CATCH, Inc., Community Action Together for Children's Health.

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