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Parent Survey - Residential
REBOUND, INC - RESIDENTIAL PROGRAM Confidential Parent Source Survey. Please take a few moments to complete this survey.
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* Indicates required question
Email
*
Your email
Where is your child housed at?
*
Jelani House
Naima House
How old is your child?
*
14
15
16
17
Other:
Which race does your child most identify with?
*
White (Caucasian)
Black or African American
Asia/Pacific Islander
American Indian
More than One Race
Other:
Is your child Hispanic?
*
Yes
No
What is your child's gender?
*
Female
Male
What is your relationship to the child?
*
Your answer
I was treated with respect by Rebound staff.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
The rules of the house were clearly explained to me.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
House staff listened to me.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
The staff at Rebound care about my child's success.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
My child received emotional support while at the House.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
My child received adequate recreation while at the House.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
My child was safe at the House.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
My child received support with their education plan, IEP, and/or educational services.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
My child received adequate help from staff in getting medical and dental services.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
My child received adequate help from staff in getting mental health services.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
Throughout the duration of my child's time at rebound, my referral's physical and emotional well-being were properly screened and attended to.
1
2
3
4
5
Clear selection
Throughout the duration of my Child's time at rebound, my referral and their family received support in reintegrating the youth back into our family and community.
1
2
3
4
5
Clear selection
The House treatment/program met my child's needs.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
My child received support for a transition plan, before exiting the House.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
My child learned new skills while at the House.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
I had input into my child's goal development.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
I had input into my child's case plan.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
I was encouraged to be involved in my child's program at the House.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
Could Rebound's residential program have done something else to better serve you?
*
Your answer
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