1. Family Advocacy Program Needs Assessment

Please fill out this confidential survey and help us improve Family Advocacy services provided to Joint Base Lewis-McChord area residents. Thank you for your assistance!

* 1. Status:

* 2. Gender:

* 3. Marital Status:

* 4. Length of time you have been in the local Fort Lewis area:

* 5. Do you know where Family Advocacy is located?

* 6. Do the operating hours 7:30 a.m. - 4:30 p.m., Mon - Fri, meet your needs?

* 7. What is the best time for you to attend workshops?

* 8. Were you aware that we can provide free childcare when you attend Family Advocacy Program classes or services?

* 9. How do you receive information on community activities?

* 10. What type of New Parent Support workshops are you interested in?

* 11. What type of Parent Support workshops are you interested in?

* 12. What type of Adolescent Life Skills & Safety workshops are you interested in?

* 13. What type of Life Skills workshops are you interested in?

* 14. What type of Prevention workshops are you interested in?

* 15. What type of Advocacy workshops are you interested in?

* 16. What family programs would you like to see improved?

* 17. Please list family class topics or additional services/events which you feel are needed in the community:

* 18. Please list the major stressors faced by Soldiers, families and children during pre-deployment, deployment and post-deployment times:

* 19. If you are a Reservist or National Guard member, how can the Family Advocacy Program best serve your needs, especially if you do not live close to Fort Lewis?

* 20. If you would like to be contacted regarding any of the above programs, please list your name and contact information.