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!

Status:

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* 1. Status:

Gender:

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* 2. Gender:

Marital Status:

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* 3. Marital Status:

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

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

Do you know where Family Advocacy is located?

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

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

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

What is the best time for you to attend workshops?

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

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

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

How do you receive information on community activities?

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

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

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

What type of Parent Support workshops are you interested in?

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

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

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

What type of Life Skills workshops are you interested in?

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

What type of Prevention workshops are you interested in?

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

What type of Advocacy workshops are you interested in?

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

What family programs would you like to see improved?

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

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

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

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

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

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?

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* 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?

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

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

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