Online Survey Introduction/Consent
Early On® Family Survey
Dear Parent,
This questionnaire gives you a chance to comment on Early On®. Sometimes Early On is called the Infant/Toddler Program or the Early Intervention Program or Part C. We have been asked by the State to help find out families' views about Early On through this questionnaire.
Would you help us by filling out this questionnaire? It is your chance to tell us your thoughts and feelings about Early On and about the services your family has received. Your responses will also help improve services for families across Michigan.
The questionnaire is voluntary and confidential. This means that you do not have to fill out the questionnaire, but we will ensure your privacy if you do. If you do not want to answer a question or if a question does not apply to you, please leave it blank and continue to the next question. Even if you complete part of the survey, your views are important.
We neverreport the answers of individual families to anyone. All of the information we collect will be reported as group results. If you prefer, we can help you complete the questionnaire over the phone if you call us at 1-800-363-7987.
To access the online survey, you will need a Login ID and password. Please enter ONLY the numbers located under the survey code on the upper right-hand corner of your survey as your Login ID. Please enter the entire survey code into the Password field. Please type the letters in the survey code as CAPITAL letters.
By completing the questionnaire you are agreeing to participate in this study.
Thank you for your help.
Sincerely,
Lyke Thompson, Ph.D.
Director
If you have no activity (i.e., do not type an answer or choose a response) for 60 minutes, the survey will timeout and you will lose all information that you have entered.
Use the 'PREV' and 'NEXT' buttons at the bottom of the screen to move through the survey, do not use your browser's 'Back' and 'Next' buttons. If an item does not apply to you, or if you don't have enough information to form an opinion, please leave that item blank and go to the next question. If you need to go back into the survey, start from this page and go through the login process. You will be taken to the point in the survey where you left off.
To start to the survey, please click here.