NECTC: Tools and Surveys

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Tools, Instruments and Surveys


Family Interview	Flow Charts	Forms
Instruments	Letters & Cards	Organizing Data
Scripts	Site Coordinator	Surveys

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For additional questions on instruments, surveys, or other tools, please contact NECTC Research for a complete copy of the NECTC Multi-State Study Data Collection Manual.

Family Interview
Download Family Interview

English Version
click here to download English version ONLY

Family Interview Cover Page (PDF)
Section 1 - Adult (PDF)
Section 1 - Adult Addendum (PDF)
Section 2 - Child (PDF)
Section 2 - Child Addendum (PDF)
Section 3 - Foster Care (PDF)
Section 4 - Child's Health (PDF)
Section 5 - Child Care Arrangements (PDF)
Section 5 - Child Care Provider Addendum (PDF)
Section 6 - About Child and Family Needs (PDF)
Section 7 - Income & Public Support (PDF)
Section 8 - Evolving Section (DCP1), ( DCP2), ( DCP3), (DCP 4) click on each to view the .pdf file
Family Interview Extension Post - 3 (PDF)
Family Interview Extension Post - 5 (PDF)
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Spanish Version
click here to download Spanish version ONLY

Spanish Family Interview Introduction (PDF)
Spanish Section 1 (PDF)
Spanish Adult Addendum (PDF)
Spanish Section 2 (PDF)
Spanish Child Addendum (PDF)
Spanish Section 3 (PDF)
Spanish Section 4 (PDF)
Spanish Section 5 (PDF)
Spanish Provider Addendum (PDF)
Spanish Section 6 (PDF))
Spanish Section 7 (PDF)
Spanish Section 8 - Evolving Section (DCP 1), (DCP 2), (DCP 3), (DCP 4) click on each to view the .pdf file (PDF)
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Flow Charts
Download Flow Charts

Sample Selection (PDF)
Initial Reliability (PDF)
Intitial Contact (page 1 & page 2)
Meeting with the Provider (PDF)
Community Surveys (PDF)
After the Data are Collected (PDF)
Prior to Next Data Collection Point (PDF)
When Families Move (PDF)
Ongoing Reliability (PDF)
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Forms
Download Forms

Child Assessment Coversheet - DCP 1 (PDF)
Child Assessment Coversheet - DCP 2 (PDF)
Document Retrieval Form (PDF)
Family Assessment Coversheet - (DCP 1), (DCP 2), (DCP 3), (DCP 4) click on each to see .pdf file (PDF)
Release of IFSP Information (PDF)
Release of IEP Informaiton (PDF)
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Instruments
Download Instruments

English Versions

Behavioral Assessment Scale for Children-Parent (BASC PRS-p)
Behavioral Assessment Scale for Children-Teacher (BASC TRS-p)

Published tools can be found at: http://ags.pearsonassessments.com

Ecomap Script & Directions (PDF)
Ecomap Sample (PDF)
Additional Ecomap Samples (Sample 1), (Sample 2), (Sample 3)

Emergent Literacy Measure(ELM)
Head Start Family and Child Experiences Survey (FACES). (1998). U.S. Department of Health and Human Services.

Center for Epidemiological Studies Depression Scale (CES-D)
(Radloff, 1977)

Dismensions of Temperament-Revised (DOTS-R, Child)
Dismensions of Temperament-Revised (DOTS-R, Parent)
(Windle & Lerner, 1999)

Early Intervention Services Assessment Scale (EISAS), Assessment (Parent)
Early Intervention Services Assessment Scale (EISAS), Program Practices (Provider)
Early Intervention Services Assessment Scale (EISAS), Transition (Provider)
(Aytch, Cryer, Castro & Selz-Campbell, 2003)

Family Empowerment Scale
(Koren, DeChillo & Friesen, 1992)

Family Support Scale
(Dunst, Jenkins & Trivette, 1984)

Peabody Picture Vocabulary Test-Third Edition (PPVT-III Form a)
Peabody Picture Vocabulary Test-Third Edition (PPVT-III Form B)

Published tools can be found at: http://ags.pearsonassessments.com

MP-R Cognitive
MP-R Expressive Language Evaluator Report
MP-R Expressive Language Parent Form
Revised MP-R Expressive Language Parent Form
MP-R Gross Motor Measure
Revised MP-R Gross Motor Measure
MP-R Developmental Scale Social Emotional
MP-R Self-Help
Revised MP-R Self-Help
MP-R Social-Emotional Behavior Styles
MP-R Social-Emotional Problem Indicators

Published tools can be found at:
http://www.stoeltingco.com/tests/store/viewlevel3.asp?keyword1=33&keyword3=1532

Spanish Versions

Encuesta Revisiada Sobre Dimensiones De La Disposicion-Nino
(Windle & Lerner, 1999)

Only published instruments are included in Appendix D

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Letters & Cards
Download Letters & Cards

Cover Letter for Administrator (PDF)
Cover Letter for EI Providers (PDF)
Cover Letter for Family Packet (PDF)
Cover Letter for follow-up to Providers (PDF)
Cover Letter for follow-up to Service Coordinators (PDF)
Cover Letter to Providers with no Prior Contact (PDF)
Family Invite from Program or Provider (PDF)
Thank You Letter for Provider (PDF)
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Organizing Data
Download Organizing Data

Reference Sheets for Packets F1A, F1B & C1 (PDF)
Summary of Data Collector Form for Data Collection Point 1 (PDF)
Summary of Enclosed Forms Data Collection Point 1 (PDF)
Summary of Enclosed Forms Data Collection Point 2 (PDF)
Summary of Enclosed Forms Data Collection Point 3 (PDF)
Summary of Enclosed Forms Data Collection Point 4 (PDF)
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Scripts
Download Scripts

Family Visit #2 Script (PDF)
Intitial and Follow-up Telephone Calls to Professionals (PDF)
Intital Telephone Call to Family (PDF)
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Site Coordinator
Download Site Coordinator

Procedures for Assigning Codes to Study Participants (PDF)
Child, Family and Professionals Coding Worksheets (PDF)
Data Update (PDF)
Job Description for Data Collectors (PDF)
Sample Selection Program & Child Status (PDF)
Site Coordinator Contacts (PDF)
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Surveys
Download Surveys

End of Early Intervention
EI Provider Survey A (PDF)
EI Provider Survey B (PDF)
Provider Survey A, Center-based Care (PDF)
Provider Survey B, Center-based Care (PDF)
Provider Survey A, Family Child Care (PDF)
Provider Survey B, Family Child Care (PDF)
Service Coordinator Survey A (PDF)
Service Coordinator Survey B (PDF)
Administrator Survey (PDF)
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Beginning of Preschool
Provider Survey A, Center-Based Care (PDF)
Provider Survey B, Center-Based Care (PDF)
Provider Survey A, Family Child Care (PDF)
Provider Survey B, Family Child Care (PDF)
Special Needs Provider Survey A (PDF)
Speical Needs Provider Survey B (PDF)
Administrator Survey (PDF)
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End of Pre-Kindergarten
Teacher/Provider Survey A (PDF)
Teacher/Provider Survey B (PDF)
Administrator Survey - Public Preschool Program Pre-Transition to K (PDF)
OR
Administrator Survey - Non-Public Preschool Program Pre-Transition to K (PDF)
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Beginning of Kindergarten
Teacher/Provider Survey A (PDF)
Teacher/Provider Survey B (PDF)
Administrator Survey - Public Preschool Program Post-Transition to K (PDF)
OR
Administrator Survey - Non-Public Preschool Program Post-Transition to K (PDF)
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What's New

Latest research brief describes a study of preschool teacher temperament and potential implications of teacher temperament on children’s transition and school adjustment; The Temperament Task Orientation Cluster among Preschool Educators

Exciting new findings on the socially validated practices that facilitate transitions for young children with disabilities; National Validation Survey Technical Report #3 and related Transition Alert

See our new research brief on Family Outcomes

The Beach Center on Disability is a site sponsored by the University of Kansas, under the direction of Dr. Ann Turnbull. This site promotes NECTC products and findings.
Click to link to the Beach Center Transition Knowledge Bank

Announcing the NECTAC National Early Childhood Transition Initiative.
Click here.

Send comments, suggestions to NECTC Management
For data related questions please send to NECTC Research
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The National Early Childhood Transition Center is supported through a cooperative agreement, PR Award # H324V020003, through the US Department of Education, Office of Special Education Programs. However, the contents of this site do not necessarily represent the positions or policies of the Office of Special Education or the US Department of Education, and readers should not assume endorsement by the federal government.

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