Best for Autism- Applied Behavior Analysis and Therapy for Autistic Children (Autism)

Best for Autism provides jobs: bahavior therapist, applied behavior analysis, treatment, Start Autism Intervention Program (ESAIP) for Autistic Children (Autism).

Service Satisfaction Questionnaire

Dear B.E.S.T. Parents,

At B.E.S.T., we strive to meet the following fundamental goals in every area of our service:

·         Improve the quality of life for children with developmental disabilities

·         Provide effective research based treatments that utilize the principles of Applied Behavior Analysis (ABA)

·         Employ individuals at all levels who are committed to understanding and practicing the principles of ABA

Below you will find the B.E.S.T. Service Satisfaction Questionnaire.  Periodically, we ask parents to complete this form to ensure that the services being provided to their child are to their satisfaction and of the utmost quality.

This Questionnaire should only take a few moments of your time. However, please feel free to expand upon any of your answers in the Comments and Suggestions section.

Please click here for a PRINTABLE version of this form.

Today's Date:

Child's Name or Client ID:

Person Completing this Form:

Email Address:

1.) B.E.S.T. staff was _____ polite and courteous.
Always Often Sometimes Never

2.) My child made _____ improvements in his/her behavior which can be attributed to these services.
Enormous Many Some Few or None Not Applicable

3.) My child has acquired _____ new skills which can be attributed to these services.
Numerous Many Some Few or None Not Applicable

4.) I would ______ recommend this service to another parent.
Highly Definitely Possibly Not

5.) I was _____ to ask questions when the Executive Director or Clinical Supervisor were present.
Always able Frequently able Sometimes able Never able

6.) The Clinical Supervisor supervised my child's program _____.
Very well Well Adequately Not very well Not Applicable

7.) The monthly Parent Training offered by B.E.S.T. was _____.
Very useful Useful Somewhat useful Not Useful Not Applicable/Did not attend

8.) Participating in Phase 3 with the clinical assistant and my child was _____.
Very useful Useful Somewhat useful Not Useful Not applicable/Did not participate

9.) The therapists who worked with my child were _____ trained to work with my child.
Very well Well Adequately Poorly

10.) The skills taught to my child were _____ useful.
Extremely Very Somewhat Not very

11.) Please list skills that your child acquired or improved upon while receiving B.E.S.T. services.

12.) Please list behaviors that your child improved upon while receiving B.E.S.T. Services

Comments or Suggestions