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1. What is your gender?

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2. What is your age? 

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3. Are you married

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4. Do you have children

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5. How many children are currently residing in your home?

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6. Do you receive government benefits (ex. SNAP, WIC, SS, Unemployment, Medicare/cade) 

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7. Have you ever taken a parenting class? 

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8. Who do you think is responsible for preventing child maltreatment?

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9. I believe people in our community need parenting support.

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10. I believe I need parenting support.

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11. I believe all parents in our community deserve support.

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12. I believe people should take advantage of parenting support in our community.

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13. I believe I should take advantage of parenting support in our community.

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14. I believe there should be more funding for preventing child maltreatment in Montezuma County.

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15. I believe there should be more funding for parenting programs in Montezuma County.

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16. I believe I play a role preventing child maltreatment.

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17. It's ok to ask for help with parenting.

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18. I believe child maltreatment is preventable.

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19. I think there needs to be more policy to prevent child maltreatment.

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20. I think there needs to be more funding to prevent child maltreatment.

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21. I think parents should be trained in preventing child maltreatment

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22. Most adults in my community believe they play a role in preventing child maltreatment.

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23. I have accurate information about child maltreatment in my community.

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24. Most adults in my community have accurate information about child maltreatment.

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25. I support kids in my community.

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26. Other people support kids in my community.

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27. If I saw a child being maltreated I would intervene.

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28. I think my neighbor/ co-worker/ friend would intervene if they saw a child being maltreated.

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29. I believe physically punishing a child is not necessary because there are other ways to discipline a child.

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30. Most adults in my community believe physically punishing a child is not necessary because there are other ways to discipline a child.

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31. I believe it is important my child never experiences child maltreatment.

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32. I believe most parents think it’s important their children never experience maltreatment.

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33. I have heard of the Child Maltreatment Prevention Action Team (CMPAT)

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34. I know how to prevent child maltreatment.

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35. Most people in the community know how to prevent child maltreatment

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36. Copy and paste this link into your browser to enter to win a gift card: https://forms.gle/xzEebYUmkdw8F8B97

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