GSC Community survey

Question Title

* 1. I currently participate in the Great Start Collaborative and/or Great Start Parent Coalition. (This can be by attending family events planned by the groups)

Yes

Question Title

* 2. In which school district do you LIVE?

Airport

Bedford

Dundee

Ida

Jefferson

Mason

Monroe

Summerfield

Whiteford

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* 3. Do you identify yourself within a specific cultural, racial or ethnic background?

Yes

I choose not to respond to this question

If "yes", please indicate how you identify yourself

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* 4. Please tell us the number of children you have in each age group. Please fill in all that apply.

I have no children

Under 1 year of age

1-5 years old

6-9 years old

10-12 years old

13 years and older

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* 5. Which best describes you as a parent? Please indicate all that apply.

Biological

Foster

Adoptive

Grandparent

Stepparent

Guardian

Other (please specify)

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* 6. My family has received or is receiving the following Early Childhood/Family services in Monroe County. Please check all that apply.

Head Start

Early Head Start

Great Start Readiness Preschool (GSRP)

Private/Tuition Based Preschool

Licensed Childcare

Family/Relative Childcare

Early On

Special Education

WIC

Children's Special Health Care

Community Mental Health

Imagination Library

Medicaid

MiChild

Health Department

Department of Human Services

Family Medical Center

Other (please specify)

Question Title

* 7. I found services for children ages 0-5 in Monroe County were...

Easy to get

Not easy to get

My family hasn't received services

Childhood health including dental health

Substance abuse; prescription and illegal

Preparing my child for kindergarten

Educating community about new recommendations for babies like "Safe Sleep"

Family support; meeting basic needs

Parenting education through community playgroups or other means

Dealing with challenging childhood behaviors

Stress management

Budgeting

Access to health care including insurance, immunizations, and finding a family doctor

Special needs/disabilities

Assistance in finding quality/affordable childcare options

Affordable and consistent mental health services

Childhood nutrition and obesity prevention

Prevention of teenage pregnancy/support for teen parents

Smoking cessation and education for pregnant mothers

Child abuse and neglect

Opportunities for all families to engage in community events

GSC Community survey

Question Title

* 1. I currently participate in the Great Start Collaborative and/or Great Start Parent Coalition. (This can be by attending family events planned by the groups)

Question Title

* 2. In which school district do you LIVE?

Question Title

* 3. Do you identify yourself within a specific cultural, racial or ethnic background?

Question Title

* 4. Please tell us the number of children you have in each age group. Please fill in all that apply.

Question Title

* 5. Which best describes you as a parent? Please indicate all that apply.

Question Title

* 6. My family has received or is receiving the following Early Childhood/Family services in Monroe County. Please check all that apply.

Question Title

* 7. I found services for children ages 0-5 in Monroe County were...

Question Title

* 8. Please select the TOP THREE ISSUES on which you feel our community should focus.

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* 9. Additional comments: