Family Questionnaire

School-Age Family Engagement Lesson 1 Apply Family Questionnaire Program Tool	WWW.VIRTUALLABSCHOOL.ORG ACTIVITY ID: 29166 Name Certifier Date
Please complete the following feedback about the practices of the professionals in your child’s school-age program. Your feedback will provide valuable information about ways the staff members can improve their current practices and continue to grow as professionals. The following questions relate to high-quality practices demonstrated by school-age staff members working with children and youth. For each question, please rate the staff member on the scale below. Key: 1: Needs improvement 2: Competent 3: Very Competent Statement: Provides a safe, clean environment that helps prevent injuries and teaches children and youth how to stay safe. 1 2 3 Promotes healthy habits, nutrition, and practices that support the physical well-being of children and youth. 1 2 3 Provides materials, experiences and routines that support my child’s development and learning. 1 2 3 Creates an engaging, welcoming, and secure environment that encourages children and youth to explore, learn, and participate in activities. 1 2 3 Provides a variety of equipment, activities, and opportunities that support the physical development of children and youth. 1 2 3 Provides activities and experiences that encourage curiosity, exploration, creativity, and problem-solving appropriate to the ages and developmental needs of children and youth. 1 2 3 Communicates effectively with children and youth and provides opportunities for them to express their thoughts, ideas, and feelings. 1 2 3 Provides opportunities for children and youth to express their creativity through language, movement, music, art, materials, and new ideas. 1 2 3 Supports the physical, social, and emotional development of children and youth and encourages confidence, independence, and self-esteem. 1 2 3 Helps children and youth feel accepted, build positive relationships, communicate effectively, and demonstrate empathy and respect for others. 1 2 3 Provides a supportive environment in which children and youth learn and practice appropriate behaviors and social skills. 1 2 3 Establishes and maintains open, positive, responsive, and cooperative relationships with families. 1 2 3 Is well organized and effectively manages program activities and daily operations. 1 2 3 Presents themselves in a professional, respectful, and responsible manner. 1 2 3 Adapted from: Council for Professional Recognition. (2022). (pp. 137-138). Washington, DC: Council for Professional Recognition. Youth family questionnaire. Child Development Associate (CDA) Council.

Program Tool

WWW.VIRTUALLABSCHOOL.ORG

ACTIVITY ID: 29166

Name

Certifier

Date

Please complete the following feedback about the practices of the professionals in your child’s school-age program. Your feedback will provide valuable information about ways the staff members can improve their current practices and continue to grow as professionals.

The following questions relate to high-quality practices demonstrated by school-age staff members working with children and youth. For each question, please rate the staff member on the scale below.

Key: 1: Needs improvement 2: Competent 3: Very Competent

Statement:

Provides a safe, clean environment that helps prevent injuries and teaches children and youth how to stay safe.
1
2
3
Promotes healthy habits, nutrition, and practices that support the physical well-being of children and youth.
1
2
3
Provides materials, experiences and routines that support my child’s development and learning.
1
2
3
Creates an engaging, welcoming, and secure environment that encourages children and youth to explore, learn, and participate in activities.
1
2
3
Provides a variety of equipment, activities, and opportunities that support the physical development of children and youth.
1
2
3
Provides activities and experiences that encourage curiosity, exploration, creativity, and problem-solving appropriate to the ages and developmental needs of children and youth.
1
2
3
Communicates effectively with children and youth and provides opportunities for them to express their thoughts, ideas, and feelings.
1
2
3
Provides opportunities for children and youth to express their creativity through language, movement, music, art, materials, and new ideas.
1
2
3
Supports the physical, social, and emotional development of children and youth and encourages confidence, independence, and self-esteem.
1
2
3
Helps children and youth feel accepted, build positive relationships, communicate effectively, and demonstrate empathy and respect for others.
1
2
3
Provides a supportive environment in which children and youth learn and practice appropriate behaviors and social skills.
1
2
3
Establishes and maintains open, positive, responsive, and cooperative relationships with families.
1
2
3
Is well organized and effectively manages program activities and daily operations.
1
2
3
Presents themselves in a professional, respectful, and responsible manner.
1
2
3

Adapted from:

Council for Professional Recognition. (2022). (pp. 137-138). Washington, DC: Council for Professional Recognition. Youth family questionnaire. Child Development Associate (CDA) Council.