MADSS Rock County Play Group Events Question Title * 1. If a WEEKDAY play group was held at Communication Innovations Therapy (in Janesville) on a Tuesday, Wednesday, or Thursday, how likely are you to attend? Very likely Likely Neither likely nor unlikely Unlikely Very unlikely OK Question Title * 2. Which Library in Rock County would you attend a play group at? (Please select all that apply) Janesville Hedberg Public Library Orfordville Public Library Beloit Public Library Edgerton Public Library Milton Public Library Evansville Vanderburgh Public Library Other (please specify) OK Question Title * 3. If a WEEKDAY play group was held at a Library in Rock County (from list above), how likely are you to attend? Very likely Likely Neither likely nor unlikely Unlikely Very unlikely OK Question Title * 4. What WEEKDAY days/times generally work for your child and family to attend a play group? (Please select all that apply) Monday mornings Monday afternoons Monday evenings Tuesday mornings Tuesday afternoons Tuesday evenings Wednesday mornings Wednesday afternoons Wednesday evenings Thursday mornings Thursday afternoons Thursday evenings Friday mornings Friday afternoons Friday evenings OK Question Title * 5. How likely are you to attend a Saturday WEEKEND Library play group in Rock County? Very likely Likely Neither likely nor unlikely Unlikely Very unlikely OK Question Title * 6. If you were to attend a Saturday WEEKEND Library play date, what times work best for you and your family? (Please check all that apply) 9:00 AM - 10:30 AM 9:30 AM - 11:00 AM 10:00 AM - 11:30 AM 10:30 AM - 12:00 PM 11:00 AM - 12:30 PM 11:30 AM - 1:00 PM OK Question Title * 7. Name of child with Ds OK Question Title * 8. Age of your child with Ds OK Question Title * 9. If you would like to be notified of future Rock County play group events, please leave your contact information: Name * Address * Address 2 City/Town * State/Province * ZIP/Postal Code * Email Address * Phone Number * OK DONE