Voluntary Survey Small Steps Survey

Small Steps Survey: Tell Us About You!

We'd love to hear about who you are and how you are using the materials in the Small Steps for Big Vision Tool Kit. Thanks for completing this short survey.

Question Title

* 1. Tell us about who you are

Parent/Guardian

Healthcare provider

Teacher/early childhood professional

Head Start/Early Head Start

Home Visitor

Nurse/School Nurse

Other (please specify)

Question Title

* 2. How helpful are the materials on this site in understanding more about child's eyes and vision health?

Extremely helpful

Very helpful

Somewhat helpful

Not so helpful

Not at all helpful

Other (please specify)

Question Title

* 3. How will you use the materials you viewed or downloaded?

Give to parents before or after a vision screening

Create content for a newsletter, web content, health fair or social media posts

Deliver a presentation or run a parent vision education program

Share with other parents or colleagues

Question Title

* 4. Were you able to find the information you wanted in the tool kit?

Yes

Voluntary Survey Small Steps Survey

Small Steps Survey: Tell Us About You!

Question Title

* 1. Tell us about who you are

Question Title

* 2. How helpful are the materials on this site in understanding more about child's eyes and vision health?

Question Title

* 3. How will you use the materials you viewed or downloaded?

Question Title

* 4. Were you able to find the information you wanted in the tool kit?

Question Title

* 5. Please help us stay in touch with you to share additional resources on children's vision and eye health.

Please provide your name

Question Title

* 6. Please provide your email

Voluntary Survey Small Steps Survey

Small Steps Survey: Tell Us About You!

Question Title

* 1. Tell us about who you are

Question Title

* 2. How helpful are the materials on this site in understanding more about child's eyes and vision health?

Question Title

* 3. How will you use the materials you viewed or downloaded?

Question Title

* 4. Were you able to find the information you wanted in the tool kit?

Question Title

* 5. Please help us stay in touch with you to share additional resources on children's vision and eye health. Please provide your name

Question Title

* 6. Please provide your email

* 5. Please help us stay in touch with you to share additional resources on children's vision and eye health.

Please provide your name