Programs Serving Pregnant and Parenting Youth Survey

The following is a brief survey asking for basic information as to your program's mission, eligibility, housing model, service provision, and outcomes as they pertain to pregnant and parenting youth. Most questions are multiple choice and the survey should not take you more than 10 minutes to complete. Once responses have been collected and analyzed, Alliance staff will be conducting follow-up interviews with some programs to identify programs that would make good profiles on our website and possibly feature at Alliance conferences.

Question Title

* 1. Are you open to being contacted by the Alliance for additional follow up?

Question Title

* 2. If you answered yes, please provide the best contact information you can below, including your name, organization, title, email address, and phone number.

Question Title

* 3. With respect to pregnant and parenting youth, what is the stated mission of your organization?

Question Title

* 4. Does your pregnant and parenting youth program receive funding from the Runaway and Homeless Youth Programs administered by the U.S. Department of Health and Human Services?

Question Title

* 5. What are the basic eligibility criteria for participation in your program, such as age and housing status before entry?

Question Title

* 6. Does your program accept pregnant and parenting youth with the following issues? Please check all of the following situations in which you WOULD accept a pregnant and parenting youth.

Question Title

* 7. Would any of the following be a reason your program would ask a pregnant or parenting youth to leave? Please check all that apply.

Question Title

* 8. Please select the housing models below that your program uses to house pregnant and parenting youth.

Question Title

* 9. Please select the leasing types used when pregnant and parenting youth are placed in housing in your program.

Question Title

* 10. Do pregnant and parenting youth pay rent in your program?

Question Title

* 11. If you answered yes to question 10, how is that payment structured? A youth pays a...

Question Title

* 12. Please indicate the amount of emphasis your program places on the following services for pregnant and parenting youth. If you do not provide one of the below services, please check the N/A box. Please only select only one service as the highest priority service.

  Highest Priority for Youth in Program High Priority for Youth in Program Medium Priority for Youth in Program Low Priority for Youth in Program N/A
Family Reunification and Counseling Services
Education
Employment
Parenting Skills
Financial Literacy
Housing Rights and Responsibilities
Life Skills
Substance Abuse Treatment
Mental Health Treatment

Question Title

* 13. If your program provides a service to pregnant and parenting youth that is not listed above, please list it here and indicate its priority on the scale above.

Question Title

* 14. Please select the services listed below in which a pregnant and parenting youth MUST participate in order to remain housed in your program. Please do not select a service if it is voluntary for a youth to participate.

Question Title

* 15. What is the most common housing destination for pregnant and parenting youth leaving your program?

Question Title

* 16. Please select which of the following outcomes your program tracks data for pregnant and parenting youth in addition to housing destination at exit. If your program collects additional outcome measures, please check other and list them in the text box.

T