Dolly Parton's Imagination Library - Family Survey

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* 1. What is your zip code?

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* 2. How many children do you have enrolled in the Imagination Library Program?

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* 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?

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)