Step 1 of 4 25% SurveyID* HiddenFamily SizeHiddenSection BreakThe Connections sign up was easy. Yes Somewhat No The Ages and Stages Questionnaires (ASQ) are easy to fill out. Yes Somewhat No My child’s first ASQ was at age: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 Parent Coach/Navigator contact I received was helpful. Yes Somewhat No Not Applicable For 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. 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 The quarterly Connect with Connections newsletter I received contained helpful information. Yes Somewhat No I feel supported by Connections. Yes Somewhat No Connections has helped me feel confident to support 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 Have you seen or connected with our social media? (Twitter, 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 about your child you would like to share:May we use your above comments for promotional purposes? (these are anonymous) 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 HiddenWhat 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 #1 MM1Child #2 MM2Child #3 MM3Child #4 MM4Child #5 MM5Child #6 MM6Child #7 MM7Child #8 MM8Child #9 MM9Child #10 MM10
