Developmental Assessment Tool
Survey of Early Learning Coalitions in Florida
 
Informed Consent Social & Behavioral Sciences, University of South Florida
 
If you experience a problem completing this survey or if you have any question regarding the informed consent, please Contact: Dr. Susan Allen, Assistant Professor, University of South Florida St. Petersburg
Telephone: 727-553-4969
Email: sfallen@stpt.usf.edu or ecatsurv@stpt.usf.edu
 
General Information about the Research Study
The purpose of this research is to gather information about developmental assessment tools that are being used with young children in subsidized child care programs throughout the state of Florida.
You are being asked to complete an electronic survey which will take about 10 to 30 minutes depending how many developmental assessment tools are used in your county. Your answers will be automatically put into a database and will be identified only by your county and your Early Learning Coalition district.

Payment for Participation
You will not be paid for your participation in this study.
 
Benefits of Being a Part of this Research Study
By taking part in this research study you will be building knowledge about the developmental assessment tools used throughout the state of Florida.
Risks of Being a Part of this Research Study
Because the study is being conducted over the internet, it is possible, however unlikely, unauthorized individuals could gain access to your response.
 
Confidentiality of Your Records
Your privacy will be kept confidential to the extent of the law. Authorized research personnel, employees of the Department of Health and Human Services, and the USF Institutional Review Board may inspect the records from this research project.
The results of this study may be published. However, the data obtained from you will be combined with data from others in the publication. The published results will not include your name or any other information that would personally identify you in any way. Researchers will be the only ones with access to the database and will keep the database on a secured computer at the University of South Florida.
 
Volunteering to Be Part of this Research Study
Your decision to participate in this research study is completely voluntary. You are free to participate in this research study or to withdraw at any time. There will be no penalty or loss of benefits you are entitled to receive, if you stop taking part in the study.

Questions and Contacts
If you have any questions about this research study, contact: Susan Allen at 727-553-4969
If you have questions about your rights as a person who is taking part in a research study, you may contact the Division of Research Compliance of the University of South Florida at (813) 974-5638.

If you are not ready to consent to these conditions at this time or would like to complete this survey later, exit out of this site without checking "yes" below.

 
Q1 By checking Yes below I consent to take part in this study. I agree that:
I have fully read this informed consent form describing this research project.
I have received satisfactory answers to any questions that I may have about the survey.
I understand that I am being asked to participate in research. I understand the risks and benefits, and I freely give my consent to participate in the research project outlined in this form, under the conditions indicated in it.
I may print this informed consent form, which is mine to keep.
I agree to this informed consent and am ready to complete the survey.
 
Go to Q2
 
Q2
 
Please list all developmental assessment tools you are aware of that your county used during the 2004-2005 school year with children under the age of 5 who receive child care subsidies. Developmental assessment tools are defined as instruments that measure a number of domains of a child's functioning in order to determine developmental progress and/or possible developmental delays. We have provided space to descibe up to 6 instruments. Please attach the same information listed for additional instruments if needed.
 
Q3
 
Q4 Who administers {Q3}? Check all that apply.
 
 
 
Q5 Ages of children who get {Q3}:
 
Q6 Purpose of {Q3}. Check all that apply.
 
 
 
Q7 In what month(s) is/are {Q3} used?
   
   
 
Q8 Location(s) in which {Q3} is administered. Check all that apply.
 
 
 
Q9
 
Q10 How is the use of {Q3} financed? Check all that apply.
 
 
 
Q11 Did you use any other developmental assessment tool during the 2004-2005 school year?
 
Go to Q12
Go to Q58
 
Q12
 
Q13 Who administers {Q12} ? Check all that apply.
 
 
 
Q14 Ages of children who get {Q12}:
 
Q15 Purpose of {Q12}. Check all that apply.
 
 
 
Q16 In what month(s) is/are {Q12} used?
   
   
 
Q17 Location(s) in which {Q12} is administered. Check all that apply.
 
 
 
Q18
 
Q19 How is the use of {Q12} financed? Check all that apply:
 
 
 
Q20 Did you use any other developmental assessment tool during the 2004-2005 school year?
 
Go to Q21
Go to Q58
 
Q21
 
Q22 Who administers {Q21} ?
 
 
 
Q23 Ages who get {Q21}:
 
Q24 Purpose of {Q21}. Check all that apply.
 
 
 
Q25 In what month(s) is/are {Q21} used?
   
   
 
Q26 Location(s) in which {Q21} is administered. Check all that apply.
 
 
 
Q27
 
Q28 How is the use of {Q21} financed? Check all that apply.
 
 
 
Q29 Did you use any other developmental assessment tool during the 2004-2005 school year?
 
Go to Q30
Go to Q58
 
Q30
 
Q31 Who administers {Q30} ? Check all that apply.
 
 
 
Q32 Ages who get {Q30}:
 
Q33 Purpose of {Q30}. Check all that apply.
 
 
 
Q34 In what month(s) is/are {Q30} used?
   
   
 
Q35 Location(s) in which {Q30} is administered. Check all that apply.
 
 
 
Q36
 
Q37 How is the use of {Q30} financed? Check all that apply.
 
 
 
Q38 Did you use any other developmental assessment tool during the 2004-2005 school year?
 
Go to Q39
Go to Q58
 
Q39
 
Q40 Who administers {Q39} ? Check all that apply.
 
 
 
Q41 Ages who get {Q39}:
 
Q42 Purpose of {Q39}. Check all that apply.
 
 
 
Q43 In what month(s) is/are {Q39} used?
   
   
 
Q44 Location(s) in which {Q39} is administered. Check all that apply.
 
 
 
Q45
 
Q46 How is the use of {Q39} financed? Check all that apply.
 
 
 
Q47 Did you use any other developmental assessment tool during the 2004-2005 school year?
 
Go to Q48
Go to Q58
 
Q48
 
Q49 Who administers {Q48} ? Check all that apply.
 
 
 
Q50 Ages of children who get {Q48}:
 
Q51 Purpose of {Q48}. Check all that apply.
 
 
 
Q52 In what month(s) is/are {Q48} used?
   
   
 
Q53 Location(s) in which {Q48} is administered. Check all that apply.
 
 
 
Q54
 
Q55 How is the use of {Q48} financed? Check all that apply.
 
 
 
Q56 Did you use any other developmental assessment tool during the 2004-2005 school year?
 
Go to Q57
Go to Q58
 
Q57
 
Q58 Are you aware of any research implemented in your county to understand and/or compare the effectiveness of any developmental assessment instruments used in your county presently or in the past?
 
Go to Q60
Go to Q59
Go to Q64
 
Q59
  Go to N9
 
Q60
 
Q61
 
Q62
 
You need to provide a response for all the open-ended questions. If the question is not applicable or you have no comment, please indicate that.
 
Q63 Briefly describe the challenges and barriers in your present program to assess child developmental progress and identify delays in children under the age of 5 who are in subsidized child care.
 
Q64
 
Q65 Have you made any changes this school year (2004-2005) from the past year (2003-2004) in your procedures to assess development and identify delays?
 
Go to Q66
Go to Q67
 
Q66
 
Q67
 
Q68
Go to N10
 
Thank you so much for your time to complete the survey and for the important information you have provided!