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1. Introduction

Dear Parents and Guardians,

We are interested in learning more about your thoughts and experiences with Family ACCESS' Child Assault Prevention program (CAP). Your comments are important to us. The information you provide will assist us in keeping children safe and in addressing parents' questions at future workshops. Thank you for your time and candidness.

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* 1. What school does your child/children attend?

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* 2. What grade(s) are your child(ren) in?

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* 3. My child has participated in CAP previously.

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* 4. Did you receive the introductory information letter from Family ACCESS CAP, distributed through your school office?

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* 5. Did you attend the CAP parent workshop? (Please check all that apply)

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* 6. The material provided to me and/or the parent workshop I attended: (Check all that apply)

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* 7. Are there related topics that you would have liked us to address in the handouts or parent workshop?

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* 8. After attending the classroom workshop, my child initiated discussions at home about the issues addressed by CAP.

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* 9. After the classroom workshop, my child is: (check all that apply)

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* 10. I have initiated discussions with my child about the following issues addressed by CAP: (check all that apply)

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* 11. CAP materials and workshops have: (check all that apply)

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