YOUR VOICE MATTERS Survey

Dear CII Community,

Children's Institute has grown so much over the last several years. That's because of incredible support from families like yours and the trust you put in our staff and programs.

We're reaching out to you today to ask if you could answer a few short questions about your experience with CII and your hopes and dreams for the future. It will take just a few minutes of your time, and as a token of our appreciation, you will be entered to win one of 100, $20 gift cards upon completion of the survey.

Lend your voice and help us to better serve you, your children and your community!

	1- Not important at all	2- Slightly important	3- Moderately important	4- Very important	5- Extremely important
To improve your current financial situation	To improve your current financial situation 1- Not important at all	To improve your current financial situation 2- Slightly important	To improve your current financial situation 3- Moderately important	To improve your current financial situation 4- Very important	To improve your current financial situation 5- Extremely important
Practice healthy behaviors for your children or loved ones	Practice healthy behaviors for your children or loved ones 1- Not important at all	Practice healthy behaviors for your children or loved ones 2- Slightly important	Practice healthy behaviors for your children or loved ones 3- Moderately important	Practice healthy behaviors for your children or loved ones 4- Very important	Practice healthy behaviors for your children or loved ones 5- Extremely important
Speak up for yourself and others you care about	Speak up for yourself and others you care about 1- Not important at all	Speak up for yourself and others you care about 2- Slightly important	Speak up for yourself and others you care about 3- Moderately important	Speak up for yourself and others you care about 4- Very important	Speak up for yourself and others you care about 5- Extremely important
Live in a safe community	Live in a safe community 1- Not important at all	Live in a safe community 2- Slightly important	Live in a safe community 3- Moderately important	Live in a safe community 4- Very important	Live in a safe community 5- Extremely important
Live in a community with high-quality schools	Live in a community with high-quality schools 1- Not important at all	Live in a community with high-quality schools 2- Slightly important	Live in a community with high-quality schools 3- Moderately important	Live in a community with high-quality schools 4- Very important	Live in a community with high-quality schools 5- Extremely important
Live in a community with high-quality businesses	Live in a community with high-quality businesses 1- Not important at all	Live in a community with high-quality businesses 2- Slightly important	Live in a community with high-quality businesses 3- Moderately important	Live in a community with high-quality businesses 4- Very important	Live in a community with high-quality businesses 5- Extremely important
Have the skills and resources to help your children manage stress	Have the skills and resources to help your children manage stress 1- Not important at all	Have the skills and resources to help your children manage stress 2- Slightly important	Have the skills and resources to help your children manage stress 3- Moderately important	Have the skills and resources to help your children manage stress 4- Very important	Have the skills and resources to help your children manage stress 5- Extremely important
Do well in school and college	Do well in school and college 1- Not important at all	Do well in school and college 2- Slightly important	Do well in school and college 3- Moderately important	Do well in school and college 4- Very important	Do well in school and college 5- Extremely important
Have positive role models and mentors	Have positive role models and mentors 1- Not important at all	Have positive role models and mentors 2- Slightly important	Have positive role models and mentors 3- Moderately important	Have positive role models and mentors 4- Very important	Have positive role models and mentors 5- Extremely important
Be engaged in the learning of your children or others you care about	Be engaged in the learning of your children or others you care about 1- Not important at all	Be engaged in the learning of your children or others you care about 2- Slightly important	Be engaged in the learning of your children or others you care about 3- Moderately important	Be engaged in the learning of your children or others you care about 4- Very important	Be engaged in the learning of your children or others you care about 5- Extremely important
Have the skills and resources to support your own life-long learning	Have the skills and resources to support your own life-long learning 1- Not important at all	Have the skills and resources to support your own life-long learning 2- Slightly important	Have the skills and resources to support your own life-long learning 3- Moderately important	Have the skills and resources to support your own life-long learning 4- Very important	Have the skills and resources to support your own life-long learning 5- Extremely important
Feel happy, healthy and optimistic	Feel happy, healthy and optimistic 1- Not important at all	Feel happy, healthy and optimistic 2- Slightly important	Feel happy, healthy and optimistic 3- Moderately important	Feel happy, healthy and optimistic 4- Very important	Feel happy, healthy and optimistic 5- Extremely important

1- Not important at all

2- Slightly important

3- Moderately important

4- Very important

5- Extremely important

To improve your current financial situation

To improve your current financial situation 1- Not important at all

To improve your current financial situation 2- Slightly important

To improve your current financial situation 3- Moderately important

To improve your current financial situation 4- Very important

To improve your current financial situation 5- Extremely important

Practice healthy behaviors for your children or loved ones

Practice healthy behaviors for your children or loved ones 1- Not important at all

Practice healthy behaviors for your children or loved ones 2- Slightly important

Practice healthy behaviors for your children or loved ones 3- Moderately important

Practice healthy behaviors for your children or loved ones 4- Very important

Practice healthy behaviors for your children or loved ones 5- Extremely important

Speak up for yourself and others you care about

Speak up for yourself and others you care about 1- Not important at all

Speak up for yourself and others you care about 2- Slightly important

Speak up for yourself and others you care about 3- Moderately important

Speak up for yourself and others you care about 4- Very important

Speak up for yourself and others you care about 5- Extremely important

Live in a safe community

Live in a safe community 1- Not important at all

Live in a safe community 2- Slightly important

Live in a safe community 3- Moderately important

Live in a safe community 4- Very important

Live in a safe community 5- Extremely important

Live in a community with high-quality schools

Live in a community with high-quality schools 1- Not important at all

Live in a community with high-quality schools 2- Slightly important

Live in a community with high-quality schools 3- Moderately important

Live in a community with high-quality schools 4- Very important

Live in a community with high-quality schools 5- Extremely important

Live in a community with high-quality businesses

Live in a community with high-quality businesses 1- Not important at all

Live in a community with high-quality businesses 2- Slightly important

Live in a community with high-quality businesses 3- Moderately important

Live in a community with high-quality businesses 4- Very important

Live in a community with high-quality businesses 5- Extremely important

Have the skills and resources to help your children manage stress

Have the skills and resources to help your children manage stress 1- Not important at all

Have the skills and resources to help your children manage stress 2- Slightly important

Have the skills and resources to help your children manage stress 3- Moderately important

Have the skills and resources to help your children manage stress 4- Very important

Have the skills and resources to help your children manage stress 5- Extremely important

Do well in school and college

Do well in school and college 1- Not important at all

Do well in school and college 2- Slightly important

Do well in school and college 3- Moderately important

Do well in school and college 4- Very important

Do well in school and college 5- Extremely important

Have positive role models and mentors

Have positive role models and mentors 1- Not important at all

Have positive role models and mentors 2- Slightly important

Have positive role models and mentors 3- Moderately important

Have positive role models and mentors 4- Very important

Have positive role models and mentors 5- Extremely important

Be engaged in the learning of your children or others you care about

Be engaged in the learning of your children or others you care about 1- Not important at all

Be engaged in the learning of your children or others you care about 2- Slightly important

Be engaged in the learning of your children or others you care about 3- Moderately important

Be engaged in the learning of your children or others you care about 4- Very important

Be engaged in the learning of your children or others you care about 5- Extremely important

Have the skills and resources to support your own life-long learning

Have the skills and resources to support your own life-long learning 1- Not important at all

Have the skills and resources to support your own life-long learning 2- Slightly important

Have the skills and resources to support your own life-long learning 3- Moderately important

Have the skills and resources to support your own life-long learning 4- Very important

Have the skills and resources to support your own life-long learning 5- Extremely important

Feel happy, healthy and optimistic

Feel happy, healthy and optimistic 1- Not important at all

Feel happy, healthy and optimistic 2- Slightly important

Feel happy, healthy and optimistic 3- Moderately important

Feel happy, healthy and optimistic 4- Very important

Feel happy, healthy and optimistic 5- Extremely important

	1- Never	2- Rarely	3- Occasionally	4- Frequently	5- All the time
Your cultures and values are respected	Your cultures and values are respected 1- Never	Your cultures and values are respected 2- Rarely	Your cultures and values are respected 3- Occasionally	Your cultures and values are respected 4- Frequently	Your cultures and values are respected 5- All the time
Your strengths are celebrated and appreciated	Your strengths are celebrated and appreciated 1- Never	Your strengths are celebrated and appreciated 2- Rarely	Your strengths are celebrated and appreciated 3- Occasionally	Your strengths are celebrated and appreciated 4- Frequently	Your strengths are celebrated and appreciated 5- All the time
CII connects you to other organizations you know and trust	CII connects you to other organizations you know and trust 1- Never	CII connects you to other organizations you know and trust 2- Rarely	CII connects you to other organizations you know and trust 3- Occasionally	CII connects you to other organizations you know and trust 4- Frequently	CII connects you to other organizations you know and trust 5- All the time
CII Staff are concerned for your health, wellness and success	CII Staff are concerned for your health, wellness and success 1- Never	CII Staff are concerned for your health, wellness and success 2- Rarely	CII Staff are concerned for your health, wellness and success 3- Occasionally	CII Staff are concerned for your health, wellness and success 4- Frequently	CII Staff are concerned for your health, wellness and success 5- All the time
Feel heard and understood	Feel heard and understood 1- Never	Feel heard and understood 2- Rarely	Feel heard and understood 3- Occasionally	Feel heard and understood 4- Frequently	Feel heard and understood 5- All the time
CII provides the programming and resources you and your family need	CII provides the programming and resources you and your family need 1- Never	CII provides the programming and resources you and your family need 2- Rarely	CII provides the programming and resources you and your family need 3- Occasionally	CII provides the programming and resources you and your family need 4- Frequently	CII provides the programming and resources you and your family need 5- All the time

1- Never

2- Rarely

3- Occasionally

4- Frequently

5- All the time

Your cultures and values are respected

Your cultures and values are respected 1- Never

Your cultures and values are respected 2- Rarely

Your cultures and values are respected 3- Occasionally

Your cultures and values are respected 4- Frequently

Your cultures and values are respected 5- All the time

Your strengths are celebrated and appreciated

Your strengths are celebrated and appreciated 1- Never

Your strengths are celebrated and appreciated 2- Rarely

Your strengths are celebrated and appreciated 3- Occasionally

Your strengths are celebrated and appreciated 4- Frequently

Your strengths are celebrated and appreciated 5- All the time

CII connects you to other organizations you know and trust

CII connects you to other organizations you know and trust 1- Never

CII connects you to other organizations you know and trust 2- Rarely

CII connects you to other organizations you know and trust 3- Occasionally

CII connects you to other organizations you know and trust 4- Frequently

CII connects you to other organizations you know and trust 5- All the time

CII Staff are concerned for your health, wellness and success

CII Staff are concerned for your health, wellness and success 1- Never

CII Staff are concerned for your health, wellness and success 2- Rarely

CII Staff are concerned for your health, wellness and success 3- Occasionally

CII Staff are concerned for your health, wellness and success 4- Frequently

CII Staff are concerned for your health, wellness and success 5- All the time

Feel heard and understood

Feel heard and understood 1- Never

Feel heard and understood 2- Rarely

Feel heard and understood 3- Occasionally

Feel heard and understood 4- Frequently

Feel heard and understood 5- All the time

CII provides the programming and resources you and your family need

CII provides the programming and resources you and your family need 1- Never

CII provides the programming and resources you and your family need 2- Rarely

CII provides the programming and resources you and your family need 3- Occasionally

CII provides the programming and resources you and your family need 4- Frequently

CII provides the programming and resources you and your family need 5- All the time

YOUR VOICE MATTERS

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* 1. On a scale from one to five how important are the following goals to you or others you care about? (1 being least important and 5 being most important)

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* 2. What are other goals that are important to you and your family?

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* 3. In your experience with CII, how often do you feel:

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* 4. Please share any feedback that you have for Children's Institute.

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* 5. Zip code:

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* 6. Age:

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* 7. Email