2022 Stephenson County Dolly Parton Imagination Library Survey

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* 1. How many children in your household are currently enrolled in the Dolly Parton Imagination Library program?

More than 5

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* 2. Select the ages of the child/children enrolled in the Imagination Library? (Check all that apply)

	Child 1	Child 2	Child 3	Child 4	Child 5	Child 6
Less than 12 months old	Less than 12 months old Child 1	Less than 12 months old Child 2	Less than 12 months old Child 3	Less than 12 months old Child 4	Less than 12 months old Child 5	Less than 12 months old Child 6
1 year	1 year Child 1	1 year Child 2	1 year Child 3	1 year Child 4	1 year Child 5	1 year Child 6
2 years	2 years Child 1	2 years Child 2	2 years Child 3	2 years Child 4	2 years Child 5	2 years Child 6
3 years	3 years Child 1	3 years Child 2	3 years Child 3	3 years Child 4	3 years Child 5	3 years Child 6
4 years	4 years Child 1	4 years Child 2	4 years Child 3	4 years Child 4	4 years Child 5	4 years Child 6

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* 3. Have any of your children reached the age of 5 and graduated out of the Dolly Parton Imagination Library program?

More than 5

None

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* 4. If your child graduated out of the program, how many years did your child receive Imagination Library

What year did you enroll him/her (2017, 2018, 2019, 2020, 2021)

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* 5. Has participating in the Imagination Library increased your child's/children's requests to read books?

Yes

Not sure

N/A (child is less than 3 months old)

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* 6. On average, how often do you read with your child/children?

One or more times a day

Almost every day

Several times a week

Weekly

Less than weekly

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* 7. Has receiving books from the Imagination Library increased how often you read with your child/children?

Yes

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* 8. Has receiving books from the Imagination Library increased your interactions with your child/children?

Yes

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* 9. Do you feel that receiving books from the Imagination Library increases your child's/children's language skills?

Yes

Don't know

N/A (child is under 3 months of age)

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* 10. Has receiving books from the DPIL increased the diversity of your at-home library?

Yes

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* 11. If you were not receiving DPIL books, would the number of books your child/children have access to in the home be:

Limited

About the same

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* 12. Did your child/children attend one of the following Early Childhood Centers

Amity Learning Center

Open Bible Learning Center

YMCA Children's Center

Freeport Catholic Schools (Aquin)

Early Childhood Academy Preschools (formerly PASS) in Forreston, Orangeville, Dakota, Lena, Pearl City & Freeport

Head Start

Roberta Capp Family Childcare Center

Other Childcare

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* 13. Will your child/children begin kindergarten this fall (2022)?

Yes

Is yes, which child/children? And which school?

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* 14. If your child will be entering kindergarten in the Fall, will you consider sharing his/her kindergarten scores with us to help us measure the success of the Imagination Library on kindergarten readiness? This will involve signing a release of information with United Way of Northwest Illinois and we will only use this information to assist us with securing additional funding for the program and to measure its success.

Yes

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* 15. If you are willing to help us measure the success of the program, please add your email address here and we will follow up with you.

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* 16. Did you know that the Imagination Library is a United Way of Northwest Illinois funded program?

Yes

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* 17. What is your current age?

Under 20

20-29

30-39

40-49

50+

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* 18. Please consider sharing a story in this space about how your child enjoys the books they received or how you have increased spending time reading with your child.

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* 19. Please enter your Zip Code

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* 20. Where did you hear about the Dolly Parton Imagination Library?

Preschool or Child Care

Library

Newspaper

Social Media

Friend or Family Member

Social Service Agency

United Way of Northwest Illinois

Website

Other (please specify)

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* 21. Please share any additional comments and/or questions you may have regarding the program. (Optional)

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* 22. How likely is it that you would recommend the Dolly Parton Imagination Library program to a friend or colleague?

Not at all likely

Extremely likely

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* 23. Would you be interested in sharing a picture of your child/children reading a Dolly Parton book with us?

Yes

Please add your name and email address here if yes.

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* 1. How many children in your household are currently enrolled in the Dolly Parton Imagination Library program?

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* 2. Select the ages of the child/children enrolled in the Imagination Library? (Check all that apply)

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* 3. Have any of your children reached the age of 5 and graduated out of the Dolly Parton Imagination Library program?

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* 4. If your child graduated out of the program, how many years did your child receive Imagination Library

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* 5. Has participating in the Imagination Library increased your child's/children's requests to read books?

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* 6. On average, how often do you read with your child/children?

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* 7. Has receiving books from the Imagination Library increased how often you read with your child/children?

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* 8. Has receiving books from the Imagination Library increased your interactions with your child/children?

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* 9. Do you feel that receiving books from the Imagination Library increases your child's/children's language skills?

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* 10. Has receiving books from the DPIL increased the diversity of your at-home library?

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* 11. If you were not receiving DPIL books, would the number of books your child/children have access to in the home be:

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* 12. Did your child/children attend one of the following Early Childhood Centers

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* 13. Will your child/children begin kindergarten this fall (2022)?

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* 15. If you are willing to help us measure the success of the program, please add your email address here and we will follow up with you.

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* 16. Did you know that the Imagination Library is a United Way of Northwest Illinois funded program?

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* 17. What is your current age?

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* 18. Please consider sharing a story in this space about how your child enjoys the books they received or how you have increased spending time reading with your child.

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* 19. Please enter your Zip Code

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* 20. Where did you hear about the Dolly Parton Imagination Library?

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* 21. Please share any additional comments and/or questions you may have regarding the program. (Optional)

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* 22. How likely is it that you would recommend the Dolly Parton Imagination Library program to a friend or colleague?

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* 23. Would you be interested in sharing a picture of your child/children reading a Dolly Parton book with us?

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* 24. Contact Information (Optional)

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Follow us on Facebook https://www.facebook.com/unitedwayNWIL/ or register your child now for the Imagination Library https://usa.imaginationlibrary.com/register_my_child.php#.WJs-RdIrKUk

Follow us on Facebook
https://www.facebook.com/unitedwayNWIL/
or register your child now for the Imagination Library
https://usa.imaginationlibrary.com/register_my_child.php#.WJs-RdIrKUk