Adams County Newborn Home Visiting Program Interest Survey

If you are expecting or have a child age 3 or under, please share your thoughts on a potential free nurse home visit program in Adams County. This survey takes less than 2 minutes and is totally confidential. Thank you for helping us support healthy families!

1.Which best describes you right now?

I am expecting a child

I have a child age 3 or younger

Both

Neither (Thank you! You do not need to finish this survey.)

2.Imagine a free service where a nurse visits you at home a few weeks after your baby is born. The nurse checks on you and your baby, answers your questions, and connects you to local resources. Would you use this service, or would you have used a service like this if it were available when your baby was born?

Yes, definitely

Maybe

No

Unsure

3.What would be most helpful to you during a nurse home visit? (Check all that apply)

Checking the baby's health and weight

Help with feeding (breastfeeding or formula)

Checking on mom’s health and physical healing

Support for mood, stress, or postpartum depression

Help finding doctor appointments or child care

Getting free baby items (diapers, wipes, safe sleep gear)

Referrals to early intervention

Parent education, such as information on safe sleep, etc.

Other (please specify)

4.How would you feel about a nurse visiting your home?

Very comfortable

Somewhat comfortable

Uncomfortable

I would prefer a video call or clinic visit instead

5.What might stop you from signing up for a visit like this? (Check all that apply)

Worry about privacy or people judging me

Too busy

I already have all the support I need

Nothing would stop me

Other (please specify)

6.Where do you live in Adams County?

Quincy

Camp Point / Clayton / Golden

Liberty / Payson / Plainville

Mendon / Ursa / Loraine