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: