Family Outcomes Survey

The Bottom Line

A family must be given an opportunity to fill out a Family Outcome Survey when an infant/toddler exit services to determine how much early intervention services have helped their family to:

This survey is voluntary by the family and the family responses must be anonymous.

Go-To Tools

The handy tools that help you get the job done efficiently.

Cover letter - English 04.08.22.pdf
Above is the cover letter that should be given to the family along with the Family Outcome Survey. This cover letter helps explain the purpose of the survey.
Family Outcome Survey English 09.16.19 (3).pdf
Above is the Family Outcome Survey that is given to the family.

The Family Outcome Survey and the Family Outcomes Survey Cover Letter, which explains to families why data is being collected and how the information will be used, are both available in translated versions.

Explanation

The Family Outcomes Survey (Part C Version) is given to families of infants or toddlers with disabilities by their primary service provider. The survey is given to all children who have been served by Part C for six months or more, as the child turns age three or is exiting Part C for any reason. The Minnesota Department of Education relies on responses from families to meet federal reporting requirements. Each state is required to report the percent of families participating in Part C who report that early intervention services have helped their family to:

Why Family Outcome Survey?

For families, the goal of early intervention and early childhood special education is to enable them to provide care for their children and have the resources they need to participate in their own desired family and community activities.

Early intervention and early childhood special education also support families in a variety of individualized ways to help them care for their children and have the resources they need to participate in their own desired family and community activities. States collect, analyze, and use data on the percent of families participating in Part C who report that early intervention services have helped.

When to Give the Family Outcomes Survey

This survey shall be given for all children who have been served by Part C (0-3 ECSE) AND who have participated in Part C for 6 months or more as the child turns 3 or is exiting part C for any reason: 

Note: the list of children whose parents should receive the family outcomes survey is the same as the child for whom a Part C exit COS rating should be done.

Steps for Service Coordinator to Complete

The Part C Service Coordinator will:

Minnesota Help Me Grow Family Outcome Survey

Minnesota Department of Education

400 NE Stinson Blvd.

Minneapolis, MN 55413

Make certain that the complete survey (Side A and Side B) are distributed to families at exit. (Side A is used as part of the family assessment to help identify family priorities.)

DO NOT as families to return a completed survey in any manner that does not assure anonymity.