PHP website questionnaire
1.
Name and/or contact information (optional)
2.
How did you first learn about Parents Helping Parents?
3.
I am connecting with Parents Helping Parents for the following reasons (select one or more):
For a loved one (adolescent or adult child) suspected of having a drug/alcohol problem
To learn about prevention tools and resources for my child
As a professional in a related field to learn more about Parents Helping Parents and support its mission
To find out about how I can help (please contact me)
Other (please specify)
4.
If you have not already done so, do you wish to be added to our (undisclosed) e-mail list where you will receive updates on meeting dates and topics for our chapters?
Yes- I have provided my e-mail address below
I am already receiving e-mails
Not at this time
Please provide your e-mail address. If you have a chapter preference (ex: Edmond, Norman, Oklahoma City, Wichita, etc.) please designate
5.
Have you yet attended any of our chapter meetings and/or called one of our chapter helplines?
Yes: chapter meeting(s)
Yes: chapter helpline
No
Which chapter?
6.
Do you find a parent support group such as Parents Helping Parents to be valuable?
Yes
No
Unsure
I have not yet made use of any of these resources
Please elaborate:
7.
What services/programs offered by Parents Helping Parents do (or would) you find helpful?
Education by guest speakers at meetings who are professionals in related fields
Information and referrals to local/statewide/national resources to which I can connect for help
Support from other parents who have walked in my shoes
Reading materials including lending library books and DVDs
Parent Peer Coach: Call 1-855-DRUGFREE to be connected to a parent peer coach via telephone (free resource)
Parent roundtable meetings where parents can share and ask questions (non-speaker meetings)
Other (please specify)
8.
Would you recommend Parents Helping Parents to others? Why or why not?
9.
Would you be willing to be added to a list of volunteers to be contacted as opportunities arise for help on committees and other special events/programs? If so, please provide your name, phone #. and e-mail here.
Also add any preferences on how you would like to assist (special skills, interests, etc.)
10.
Please add any other comments, feedback, or information on how we can best meet your needs:
