Thanks for taking our survey.  Its purpose is to help us understand what people in our communities know about Head Start and to assist us in being the best Early Childhood program in Dubuque, Delaware, and Jackson Counties in Iowa.  Your input is an important ingredient as we develop our future plans.  And you may know others in the area who should also take this survey-- please pass the survey link onto them.  If you have questions or concerns please contact me at dbarnes@operationnewview.org or (563) 556-5130 ext. 32.  Thanks again!
 
Sincerely,
 
David Barnes CCAP, Executive Director
Operation New View Community Action Agency

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* 1. Do you have children not yet in kindergarten?  Please check the box(es) to indicate age(s):

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* 2. Are you aware of the existence of a Head Start program near you?

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* 3. If "Yes", where is it?

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* 4. How did you learn about Head Start?(check all that apply):

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* 5. Do any of your children attend Head Start?  Please check the box(es) to indicate their age(s).

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* 6. If applicable, why did you choose Head Start over other choices?

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* 7. If you did not choose Head Start, why didn't you? (check all that apply:)

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* 8. What do you hear friends and family members saying about Head Start (both positive and negative)?

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* 9. What is the makeup of your household?

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* 10. What is your zip code?

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* 11. ONLY if you want to be contacted by Head Start, give us your name and how you'd like to be contacted.  Your survey responses will remain anonymous. 

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