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About
Office Staff
Board of Directors
Learning Disabilities
Frequently Asked Questions
Strategic Plan
Programs
JUMP Math®
Reading Rocks
LD Student Social
S.L.A.M. Summer Camp
Partnerships
Get Involved
Volunteer Opportunities
Employment Opportunities
Resources
Events
Contact
Donate
Caregiver Feedback Form
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*
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Step
1
of
2
50%
Please complete a short survey about yours and your child’s most recent experience with the LDANR.
The LDANR gathers this feedback to assess our program strengths and areas of improvement. This information also helps us to determine the impact our programs have on children living in Niagara. We utilize this feedback when reporting to funders and stakeholders, and when applying to granting agencies to further strengthen our funding applications.
Please note: Providing feedback will in no way affect your access to future programming.
What program(s) did your child participate in most recently?
Reading Rocks
B.E.S.T.
JUMP Math
S.L.A.M. Summer Camp
SOAR Secondary
TIPS for Post-Secondary
LD Student Social
LD Parent Social
Let’s R.E.A.D.
Survey Questions
Please rate each statement below from
Strongly Disagree
to
Strongly Agree
.
1. My child enjoyed the program(s).
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Comments:
2. I believe my child benefitted from participating in the program(s).
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Comments:
3. I have noticed a positive change in my child's attitude and confidence since participating in the program(s).
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Comments:
4. The program staff and volunteers were knowledgeable and communicated effectively about the progress of my child.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Comments:
5. The program(s) adapted well to my child's needs.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Comments:
6. The program(s) created a supportive environment for my child.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Comments:
7. I would recommend the program(s) to family and friends.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Comments:
8. I would enrol my child in the program(s) again.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Comments:
Please indicate any suggestions that you feel may be helpful in improving our programs:
Share Your Story
The LDANR relies heavily on funding from granting agencies to offer our programs. To continue receiving these funds, we are required to provide program testimonials when reporting to our funders to demonstrate the difference our programs make in the community.
If you enjoyed the program and noticed significant improvements with your child’s academic skills or confidence due to the program, please consider providing a testimonial by answering the following questions.
Why did you seek the support of the LDANR?
What positive changes occurred from your involvement with the LDANR?
What positive impact did it have on you, your child, and your family?
Why is this change and/or impact significant?
Would you be willing to share your story at an LDANR or United Way event?
Sharing your story helps the LDANR to demonstrate first-hand the impact our programs make on families in Niagara!
Yes
No
Maybe
Name
*
First
Last
Email
*
Please provide any additional comments you wish to share:
Do you grant permission to the LDANR and our funders (e.g., United Way), and persons acting for or through them, the right to use, reproduce, and/or distribute your feedback for the purpose of promoting the LDANR’s programs in the following manner:
LDANR or funder website?
Yes
No
LDANR or funder social media outlets?
E.g., Facebook, Youtube, Twitter, etc.
Yes
No
LDANR or funder promotional materials?
Yes
No
If you wish to remain anonymous, you can leave the section below blank.
Name
First
Last
Email
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