GBC-Home Visit Program for Parents

Survey of Needs and Preferences

Boulder County is working to create more support for new parents and babies. Your answers to the following questions will help us to better understand your needs and preferences. Your answers are anonymous and will only be used to make decisions about future services.

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* 1. If a free program was offered where a health professional, like a nurse or a health coach visited you at home after your baby arrives, would you be interested?

Yes

I am not sure

It depends (please explain):

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* 2. If no, why not?

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* 3. How soon after the birth of your baby would you want your home visit? (check all that apply)

Within the first week

Within the first two weeks

Within the first month

Within 1-3 months

I would want someone to visit me before the birth

I would not want a home visit

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* 4. A home visitor can help with many things. Please select the three items below that would be most helpful to you during a home visit.

Check my baby’s health and provide advice and support

Check in with me about my emotional health and provide support if I want it

Check my physical health and provide support if I want it

Answer my questions (e.g. how to swaddle, what is normal infant behavior, how much should my baby be eating, what are normal emotions for new parents etc.)

Make sure I have the support I need from family or friends

Answer questions about and provide support with feeding my baby

Provide information about how to get things I might need such as housing, child care, legal help, food assistance etc.

Other (please specify)

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* 5. How would you like to hear about home visit services? (select all that apply).

At a childbirth class

From my health care provider before my baby arrives

At the hospital, birth center, or from the home birth support person

On social media

From the pediatric care provider

From adoption or foster care staff

From a friend

I don’t have a preference

Some other way:

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* 6. What else would you like us to know about receiving a home visit?

Please tell us a little bit about you.

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* 7. How many children do you have?

None yet, I will be a first time parent in the near future

2-3

4 or more

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* 8. Are you Hispanic or Latino?

Yes

Prefer not to answer

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* 9. What is your race? (Select one or more responses.)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Other (please specify)

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* 10. Where do you live?

Boulder

Boulder County (outside city limits)

Erie

Jamestown

Lafayette

Louisville

Longmont

Lyons

Nederland

Outside Boulder County

Superior

Ward

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* 11. How do you identify yourself? (select all that apply)

Parent who has given birth in the last 5 years

Parent who has not given birth in the last 5 years

Support person (e.g. guardian, kinship care provider, foster parent, adoptive parent etc.)

Other (please specify)

Thank you for sharing your thoughts!

If you have questions or concerns about this survey or a home visiting program, please contact Andrea Pruett at apruett@bouldercounty.org or 303.413.7076.