Ohio AAP Foundation Pillar Early Literacy Awareness Survey

Early Literacy Awareness Survey and Sign-up

Thank you for participating in the Ohio AAP Foundation Pillar's Early Literacy Survey. The results of this survey will be used to assist in the planning, evaluation, and follow up contact for Early Literacy Awareness Month in March 2018. If you have questions, please contact Hayley Southworth at hsouthworth@ohioaap.org or (614) 846-6258.

Question Title

* 1. Contact Information (if you would like to receive information and/or be involved):

Name

Organization

Question Title

* 2. Would you like to be involved as a (check all that apply):

Pediatrician - Primary Care

Pediatrician - Specialist

Healthcare Professional

Parent/caregiver

Community Organization Representative

Other (please specify)

Question Title

* 3. If you are a healthcare professional or represent a community organization, about how often do you currently discuss reading with families of children age 5 or younger?

Always (100% of the time)

Usually (75% of the time)

Sometimes (50% of the time)

Rarely (25% of the time)

Never (0% of the time)

N/A - Not a healthcare professional or community organization representative

Question Title

* 4. If you are a healthcare professional or represent a community organization, do you currently participate in one of these formal early literacy programs?

Reach Out and Read

Imagination Library

N/A - not a healthcare professional or community organization representative

Other (please specify):

Question Title

* 5. If you are a parent or caregiver for a child under 5 years of age, about how often do you currently read to this child (or children)?

Always (7 days per week)

Usually (5-6 days per week)

Sometimes (3-4 days per week)

Rarely (1-2 days per week)

Never (0 days per week)

N/A - Not a parent or caregiver for a child under 5 years of age

Question Title

* 6. Would you/your organization like to (check all that apply):

Donate gently used books

Collect books donated by others

Provide donated books to families you interact with

Participate on social media

Other

Question Title

* 1. Contact Information (if you would like to receive information and/or be involved):

Question Title

* 2. Would you like to be involved as a (check all that apply):

Question Title

* 3. If you are a healthcare professional or represent a community organization, about how often do you currently discuss reading with families of children age 5 or younger?

Question Title

* 4. If you are a healthcare professional or represent a community organization, do you currently participate in one of these formal early literacy programs?

Question Title

* 5. If you are a parent or caregiver for a child under 5 years of age, about how often do you currently read to this child (or children)?

Question Title

* 6. Would you/your organization like to (check all that apply):

Question Title

* 7. Please share any additional information or ideas you would like us to consider regarding Early Literacy Awareness.