Step 1 of 4 25% SurveyID*Family SizeSection BreakThe Connections sign up was easy.YesSomewhatNoThe Ages and Stages Questionnaires (ASQ) are easy to fill out.YesSomewhatNoMy child’s first ASQ was at age:age in years0 - 11 - 22 - 34+I received a quick response after submitting a questionnaire.YesSomewhatNoNot ApplicableThe questionnaires have helped my family identify a delay in my child.YesSomewhatNoNot ApplicableFor my questions, concerns, or my child's ASQ scores, the Parent Coach/Navigator contact I received was helpful.YesSomewhatNoNot ApplicableFor my questions, concerns, or my child's ASQ scores, the Parent Coach/Navigator referral (to Early On, Bright Beginnings, Ken-O-Sha, etc.) was helpful.YesSomewhatNoNot ApplicableI feel like my child’s needs or family’s needs were addressed by the place I was referred to.YesSomewhatNoNot ApplicableThe quarterly Connect with Connections newsletter I received contained helpful information.YesSomewhatNoI feel supported by Connections.YesSomewhatNoConnections has helped me feel confident to support my child’s development.YesSomewhatNoConnections has helped me understand developmental milestones.YesSomewhatNoConnections has helped me improve my parenting skills.YesSomewhatNoThrough the support and resources received, Connections has helped reduce my stress as a parent.YesSomewhatNoHave you seen or connected with our social media? (Twitter, Facebook, Instagram)YesNoWould you recommend Connections to other parents with young children?YesNo What would you change about Connections to better support the needs of your family?What is your favorite aspect of Connections? Additional feedback/comments/stories about your child you would like to share:May we use your above comments for promotional purposes? (these are anonymous)YesNo Volunteers contribute significantly to our organization, serving in a wide variety of roles and greatly increasing our capacity to serve local families. Are you interested in learning more about volunteer opportunities with Family Futures?YesNoWhat volunteer opportunities are of interest to you? Family friendly opportunities I can do with my children Sharing information about Family Futures with local families at community events Helping out on a weekly basis with mailings or data entry Opportunities where I can apply a special skill set like marketing, photography, etc. Serve as an ambassador for Family Futures – to speak on occasion on the benefits your family received, share your story, talk to other parents of the importance of joining Connections, etc. Mind MindednessPlease describe your child(ren) enrolled in the Connections program using the following space. Feel free to write down any characteristics of this child.Child #1MM1Child #2MM2Child #3MM3Child #4MM4Child #5MM5Child #6MM6Child #7MM7Child #8MM8Child #9MM9Child #10MM10
