Survey CodeThe Connections sign up was easy. Yes Somewhat No How did you hear about the Connections program? Event Social Media Website Friend Referral from different program Other Could you provide more information? The Ages and Stages Questionnaires (ASQ) are easy to fill out. Yes Somewhat No My child’s first ASQ was at age (in years): 0 - 1 1 - 2 2 - 3 4+ I received a quick response after submitting a questionnaire. Yes Somewhat No Not Applicable The questionnaires have helped my family identify a delay in my child. Yes Somewhat No Not Applicable For my questions, concerns, or my child’s ASQ scores, the Family Support Navigator contact I received was helpful. Yes Somewhat No Not Applicable The Family Support Navigator referral (to Early On, Bright Beginnings, Great Start to Quality, etc.) was helpful. Yes Somewhat No Not Applicable I feel like my child’s needs or family’s needs were addressed by the place I was referred to. Yes Somewhat No Not Applicable I feel supported by Connections. Yes Somewhat No Connections has helped me feel confident in supporting my child’s development. Yes Somewhat No Connections has helped me understand developmental milestones. Yes Somewhat No Connections has helped me improve my parenting skills. Yes Somewhat No Through the support and resources received, Connections has helped reduce my stress as a parent. Yes Somewhat No The quarterly Connect with Connections newsletter I received contained helpful information. Yes Somewhat No Have you seen or connected with our social media? (Facebook, Instagram) Yes No Would you recommend Connections to other parents with young children? Yes No 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 you would like to share:May we use your above comments for promotional purposes? Yes No Can we use your first name? Yes No 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? Yes No what 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. Family Futures would like to learn about your child(ren) enrolled in the Connections program. Please describe your child using the following space(s). Feel free to write down any characteristics of your child.How many kids do you have, or were, in Connections?123456Child #1Child #2Child #3Child #4Child #5Child #6
