Chatterbox Chats
Parent, Caregiver, and Trusted Adult Evaluation Survey

Thank you for taking the time to provide us feedback about your experience using the Chatterbox(es). Your input is important to the Adolescent and Reproductive Health team and will be used to make sure the materials we create our helpful to all Nebraskans. This survey should only be completed by parents, caregivers, and trusted adults. Please answer all questions to the best of your ability. You are welcome to skip any of the questions that you prefer not to answer. Please reach out to Michaela Jennings, Program Manager, at Michaela.Jennings@nebraska.gov if you have any questions.

Question Title

* 1. Please tell us which Chatterbox(es) you used.
Select all that apply.

Question Title

* 2. How old is the young person/s that you completed the Chatterbox(es) with?
If you completed the Chatterbox(es) with more than one young person, please select all of the age categories that apply.

Question Title

* 3. What is your relationship to the young person/s?
If you completed the Chatterbox(es) with more than one young person, please select all of the relationship categories that apply.

Question Title

* 4. Prior to using the Chatterbox(es), how often did you have conversations with your young person/s about relevant adolescent health topics?
Select only one answer.

Question Title

* 5. Rate your experience using the Chatterbox(es) with your young person/s.
Select only one answer.

Question Title

* 6. How comfortable did you feel discussing the questions in the Chatterbox(es)?
Select only one answer.

Question Title

* 7. How likely would you be to use future releases of the Chatterbox(es) to have conversations with your young person/s?
Select only one answer.

Question Title

* 8. Would you recommend the Chatterbox(es) to other parents/caregivers/guardians/adults?
Select only one answer.

Question Title

* 9. Additional Feedback:
Enter text in comment box.

 
 100% of survey complete.

T