Please take some time to complete the survey below and answer the questions honestly. Your responses are kept confidential and are only used to help us improve our program.

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* 1. What organization is leading your parent support group?

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* 2. What is your group facilitator's name?

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* 3. How old is your baby? (If you have more than one child, select the age of your youngest child.)

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* 4. Where do the closest family members you can count on for support (other than your partner) live?

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