Participant Survey

Pickering YMCA Ontario Early Years Centre

Please take some time to complete this survey. Your answers will help us to provide high quality programming for all participants. The information you provide will also be forwarded to the Canadian Association of Family Resource Programs (FRP Canada), so that they can create an overview of how family resource programs are performing in Canada.

Your information is provided anonymously; no names are used. All the participants' answers will be added together so it will not be possible to identify any individual's answer. You can choose not to take part in this survey or to skip any question you would rather not answer.

First we would like to ask you about your experiences at this program. Please indicate the extent of your agreement with each of the following items.

  Strongly Disagree     Neither Agree nor Disagree     Strongly Agree Does Not Apply
  1 2 3 4 5 6 7  

1. When I come to this program, I feel welcomed and accepted.

2. Staff members of this program treat me with respect.

3. Programs and activities are provided in a way that makes it possible to participate.

4. Staff are available when I need them.

5. There are opportunities for me to become involved in how this program operates if I wish to do so.

6. This program is welcoming to the diverse groups of people who live in this community.

7. Since coming to this program, I have made friends I can connect with and turn to outside of the program.

8. Since coming to this program, I have become more aware of the services and resources available in my community.

9. I would recommend this program to a friend.

10.Overall, I have benefitted from my participation in this program.

11. How has this program made a difference for you or your family?

 

 

 

12. What changes (if any) would you recommend to this program?

 

 

 

Parenting Survey

Next we have some questions related to parenting. Please indicate the extent of your agreement with each of the following items.

Since I began coming to this program/centre: Strongly Disagree     Neither Agree nor Disagree     Strongly Agree Does Not Apply
  1 2 3 4 5 6 7  

1. I am more aware of what to expect my child to do at his or her age.

2. I use ideas that I learned at this program to help me manage my child's behavior.

3. I use activities at home that I learned at this program.

4. I feel more confident as a parent or caregiver.

5. I understand my child/children better.

6. I am better able to deal with the day-to-day challenges that we face as a family.

Child Development Survey

Next we have some questions related to child development. Please indicate the extent of your agreement with each of the following items.

Since I began coming to this program/centre: Strongly Disagree     Neither Agree nor Disagree     Strongly Agree Does Not Apply
  1 2 3 4 5 6 7  

1. My child is more comfortable in social situations.

2. My child has more opportunities to play with other children.

3. My child has more opportunities to explore new environments.

4. My child has more opportunities to play with appropriate toys.

5. My child has more opportunities to interact with people from different backgrounds.

About You

For Questions 1-10, please respond for your own family only. If you do not have the information or would rather not answer a question, please skip that question.

1. How long have you been living in your current neighborhood or town?   

Less than 1 year 5 years to less than 10 years
1 year to less than 3 years 10 years or more
3 years to less than 5 years  

2. What is your postal code?  (no spaces)

3. How long have you lived in Canada?   

Less than 1 year 5 years to less than 10 years
1 year to less than 3 years 10 years or more
3 years to less than 5 years  

4. How long have you been participating in programs offered by this centre?   

Less than 1 year
1 year to less than 3 years
3 years or more

5. What language do you use most often at home?   

English
French
Other (please specify):

6. Where did you learn about this program? (Select all that apply)

Family or friends Faith based organization
Another participant Advertising, pamphlets, posters, presentations
Health care provider Internet
Social services worker Other (please explain):
School system  

7. What is the total before tax income of all members of your household?   

Under $19,999 per year $60,000 to $79,999 per year
$20,000 to $39,999 per year $80,000 to $99,999 per year
$40,000 to $59,999 per year Over $100,000 per year

8. What is the highest level of education you have completed?   

Primary School University degree
Secondary School Postgraduate degree
College/CEGEP diploma  

9. Please provide the following information about you and any other adult family members who have participated in this program during the last month.

    Gender Age Number of times during the last month this adult family member participated in programs. Please provide one number as a response for each person.
You   Female Male
Family Member 1   Female Male
Family Member 2   Female Male
Family Member 3   Female Male

10. Please provide the following information on your children who have participated in this program during the last month. If you did not bring any of your own children to the program, please go direct to Question 11.

    Gender Age Number of times during the last month your daughter or son participated in programs. Please provide one number as a response for each child.
Child 1   Female Male
Child 2   Female Male
Child 3   Female Male
Child 4   Female Male
Child 5   Female Male

11. Please provide the following information on the children you brought to the program as a caregiver. If you did not bring any children to the program as a caregiver, please go to Question 12.

    Gender Age Number of times during the last month this child participated in programs. Please provide one number as a response.
Child 1   Female Male
Child 2   Female Male
Child 3   Female Male
Child 4   Female Male
Child 5   Female Male

12. Please share any other comments or suggestions.

 

 

 

 

 

 

 

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