Participants will be informed of the intent of the study in the initial e-mail introduction and invitation of participation. Participants will be given the opportunity to ask questions about the study by asking the research assistants, whose names and email addresses will be given. Within the initial email introduction/invitation of participation, participants will be given the name and contact information of the research assistants and will be instructed to direct all questions regarding the survey to them. All data received from the survey participants will be returned de-identified. None of the data collected will be traceable to the survey participants. Participants will be provided the research assistants' email addresses and can contact them should they be interested in receiving any results from the study. The benefits of the study are to advance the overall role of Occupational Therapy services within head start facilities. This study could further understandings of how and / or why certain concepts should / shouldn't be used, could assist administrators in developing quality programming, and contribute to the body of knowledge in Occupational Therapy in Head Start programs. The research assistants' e-mail addresses will be provided in the consent forms with a statement saying that they will be able to contact her via e-mail should they be interested in receiving any results from the study.Informed consent will be obtained through the initial email introduction and formal request for participation. Participants will be provided study information on the first page of the survey and will indicate their consent by clicking "yes" or "no" before beginning the survey.