Talbot Family Network needs your help in deciding how to support families in Talbot County. Your experience in Talbot County and your opinion matter. Please take this opportunity to share your thoughts from YOUR perspective.
Your answers to this survey will be included in our Needs Assessment and Strategic Plan AND will help us decide what programs our funds should support. Surveys are confidential and anonymous. This survey is available in Spanish. For a printable version, email director@talbotfamilynetwork.org.

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* 1. Do you 

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* 2. Which category below includes your age?

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* 3. What is your gender?

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* 4. Which race/ethnicity best describes you? (Please choose only one.)

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* 5. What is your zip code?

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* 6. Using the list below, please select up to 2 that best describe you?

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* 7. How do you receive information about activities, services and events? Select all that apply.

Think about the challenges Talbot County families and children face. The following questions are split into three categories: Family and Community, Health, and Education and Employment.

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* 8. The items in this question are about issues occurring within FAMILIES AND/OR THE COMMUNITY. We want to hear about YOUR experiences with these issues in your family and/or your community.  Looking at the items below please rate from 1 - Not a Problem to 5 - Big Problem.

  1 Not a problem in my family or community 2 3 Somewhat of a problem in my family or community 4 5 Big problem in my family or community
Child Abuse/Neglect
Child Poverty
Childhood Hunger
Children Experiencing Homelessness
Children in Foster Care
Juvenile Crime
Bullying
Substance Abuse by Parents/Caregivers
Violence in the Home
Crime
Racism/Racial inequity
Families Impacted by Incarceration of a Parent
Affordable Housing
Trouble Affording Monthly Expenses
Services Not Offered in my Language

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* 9. Please let us know if we missed something in the list for Families and Communities above OR if you'd like to add a comment about something above.

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* 10. The items in this question are about problems concerning HEALTH RELATED ISSUES. We want to hear about YOUR experiences with these issues within families and/or your community.  Looking at the items below please rate from 1 - Not a Problem to 5 - Big Problem.

  1 Not a problem in my family or community 2 3 Somewhat of a problem in my family or community 4 5 Big problem in my family or community
Emotional Trauma in Youth
Teen Pregnancy
Mental Health Issues (Depression, Anxiety, ADHD, etc)
Alcohol and Drug Use in Youth
Youth Suicide Attempts
Obesity in Children/Teens
Youth Vaping
No Health Insurance
Low Birth Weight Babies
Infant Death
Child Immunizations Not Up to Date
Lack of Physical Activity by Children/Youth
Children with Elevated Lead Levels
Youth Hospitalized due to Injuries from Assaults

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* 11. Please let us know if we missed something in the list for Health above OR if you'd like to add a comment about something above.

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* 12. The items in this question are about problems concerning EDUCATION AND EMPLOYMENT. We want to hear about YOUR experiences with these issues within families and/or your community. Looking at the items below please rate from 1 - Not a Problem to 5 - Big Problem.

  1 Not a Problem in my family or community 2 3 Somewhat of a Problem in my family or community 4 5 Big Problem in my family or community
Youth (16-24) Employment
Public Pre-Kindergarten Opportunities
High School Graduates Ready for Higher Education
Dropping Out of High School
School Truancy
Poor Academic Performance
Students with Disabilities not Graduating
Youth (16-24) neither Working nor in School
Children Successful in Kindergarten
Affordable Quality Early Childcare/ Daycare
Unemployment
Transportation
Internet Access

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* 13. Please let us know if we missed something in the list for Education and Employment above OR if you'd like to add a comment about something above.

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* 14. What additional resources for families are needed in Talbot County?

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* 15. What are the strengths or positive things you like about Talbot County?

Thank you for your time and help identifying the needs of families and children in Talbot County. This survey is just one part of the Needs Assessment process. Data from various sources regarding these issues is being collected and analyzed as well. If you have questions about the survey please contact Nancy Andrew at director@talbotfamilynetwork.org or 410-770-6868. This survey is also available in Spanish.

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* 16. Are you aware of the on-line Healthy Talbot Resource Directory www.healthytalbot.org?

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