Feedback Form – Early Years Caregiver Mediated Program offered by Early Connections Autism Services (AlphaBee and SAAAC) – September-December 2022

EVALUATION SCALE: 5-Strongly agree;  4-Agree;  3-Neutral;  2-Disagree;  1-Strongly disagree

1. It was easy to register with Early Connections Autism Services and get my questions answered

2. I liked the convenience of the alphabeePRO platform to watch recorded sessions and to download the handouts

3. I attended all the online group sessions or caught up by watching recorded versions

4. One-on-one coaching for 6 hours was enough for me to benefit from the program

5. My coach answered my questions, and helped me with strategies that support my goals and priorities for my child

6. The JASPER goals of increasing engagement with both people and objects together, and increasing initiations, are important for my child

7. I believe that back and forth turn-taking will increase my child’s future communication

8. It is important to me that my child increase their frequency, complexity, and diversity of play

9. I found it easy to use the strategies I learned in this program

10. I find that I now have strategies to manage and cope if my child engages in rigid, repetitive, and interfering behaviour

11. After taking this course, I feel more confident that I can support my child’s development

12. I feel that family/caregiver stress has reduced as a result of feeling better able to address the needs of my child

13. I feel that the play skills and social communication skills that my child learned has improved the quality of their life

14. I have seen an improvement in my child’s social communication skills and development

15. Overall, I was highly satisfied with this course

16. I would recommend the Early Connections Autism Services (JASPER) program to other caregivers

17. Would you like to provide Early Connections Autism Services (AlphaBee & SAAAC) with a testimonial?

18. If you answered ‘Yes’, please provide your testimonial below. If you answered ‘No’, please type ‘N/A’ to continue.

Please note that we only use testimonials from previous Early Connections Autism Services clients and your decision whether or not to give a testimonial will in no way affect future services with Alphabee or SAAAC. You can rescind your testimonial at any time by emailing [email protected] to make the request.

Testimonials may be used on our Early Connections Autism Services website, linked to alphabeePRO, AlphaBee or SAAAC websites, and/or appear on promotional materials. Testimonials will not include any identifying information regarding you or your child, other than your first name or initials that you have provided in your response below. Any other identifying information you provide in your testimonial will also be removed and replaced with non-identifying information (e.g., “My child”).

19. Is there anything else you would like to tell us about the program?