* 1. Would you be interested in attending a workshop on how families could help their children at home?

* 2. If "yes" in question 1, please indicate below the type of workshops you would be interested in participating in to help your child.

* 3. I would prefer to attend workshops or informational meeting :

* 4. Do you utilize any or all of the following resources?

* 5. Would you be interested in a workshop on how to use above resources?

* 6. I'll be interested in getting together with other parents and discuss:

* 7. What is the best way to contact you?

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