Parent Survey

It is a privilege to be providing your child with the critical therapeutic services needed to support your child’s ongoing growth and development.  At Keystone Achievements we are dedicated to providing a strong support network that includes YOU as the most important person in your child’s care. 

The purpose of this survey is to establish a baseline for the foundational supports needed to ensure you, your child, and your family experience an optimal growth opportunity here at Keystone Achievements.  Please give consideration to your experience over the past six months and provide a rating on the following scale of 1-5:

• 1 Star=strongly disagree
• 2 Stars=disagree
• 3 Stars=neutral
• 4 Stars=agree
• 5 Stars=strongly agree

You may submit this survey anonymously. If you have a question, please enter your name and email address.

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Name (Optional)

First

Last

Email (Optional)

Choose your center *

• Academy
• Aerotech
• Struthers

When I have logistical questions regarding my child’s ABA therapy (e.g., scheduling needs, change of insurance, change of address, etc.), I know who to contact. *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Comments/Questions

I understand that it is important for me to communicate changes that may affect my child’s ability to participate in ABA Therapy (e.g., upcoming planned absences, when my child is not feeling well, when my child has a change in medication, when my child has a significant change in routine, etc.). *

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Comments/Questions

I meet with the BCBA for my child a minimum of once monthly. *

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Comments/Questions

I understand my child’s treatment plan and role for participation. *

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Comments/Questions

My BCBA is easily accessible and responsive to my questions. *

Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5

Comments/Questions

I am satisfied with the current level of communication I have with my BCBA. *

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Comments/Questions

My behavior technician team seems well-aligned and trained in protocols and procedures. *

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Comments/Questions

I am satisfied with my experience at Keystone and would recommend Keystone to other families seeking ABA treatment. *

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Comments/Questions

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