Caregiver Screening Survey

Who: Hey parents and caregivers!  We value your input regarding developmental screenings.
What:  A developmental screening is a checklist that asks questions about your child’s development.  You might have received this from a doctor, pre-school, or other places in your community.
When:  Screenings can occur anytime from birth to age five.
Why:  Your answers will help support children and families in healthy growth and development throughout our community.

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* 1. What Zip Code do you live in:

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* 2. I identify my ethnicity as (select all that apply below):

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* 3. What do you know about developmental screenings?

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* 4. Why do you think some children are not being screened?

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* 5. Has your child received a Developmental Screening?

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