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Dolly Parton's Imagination Library - Family Survey
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1.
What is your zip code?
(Required.)
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2.
How many children do you have enrolled in the Imagination Library Program?
(Required.)
0
1
2
3
4
5
6
Other (please specify)
3.
How old is your child?
Please select the closest year. For example, 0, 1, 2, 3, 4, or 5.
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
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4.
How long has your family been receiving Imagination Library books?
(Required.)
Less than 3 months
3 to less than 6 months
6 months to less than 1 year
1 year to less than 2 years
More than 2 years
Other (please specify)
