Exit this survey

March of Dimes 12 Month Pregnancy Program Survey

Thank you for taking our short survey to help us better understand who is using the 12 Month Pregnancy Program.

1. Are you a Family and Consumer Sciences (FACS) teacher?

2. If no, what brings you to this site?

3. If yes, in what state do you teach?

4. In what school district do you teach?

5. How many FACS students, on average, do you teach per year?

6. How did you learn about the 12-Month Pregnancy Program?

7. Are you willing to help us evaluate this program? If yes, please provide us with your e-mail address: