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For the Love of Kids
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Make a Difference
Tell us what you think!
Beech Acres Parenting Center is interested in learning more about our locations and how to better serve you.
Questions that require an answer are marked with
*
1
*
What is the name of the Beech Acres Parenting Center program you are attending or are interested in attending?
2
*
What is the zip code where you work? (Enter NA if unemployed)
3
*
What is the zip code where you live?
4
*
What is the name and/or zip code of the location where you attend this program? (Please provide neighborhood if you do not know the zip code.)
5
*
You would most likely arrive at Beech Acres Parenting Center programs by:
driving a car
riding with others
taking the bus
walking
biking
getting a taxi
program is in your home
Other
6
*
When considering whether or not to attend a program, do you consider its distance from your home as one of the deciding factors?
No, distance from home is not a factor.
Yes, distance from home is a factor.
7
*
When considering whether or not to attend a program, do you consider its distance from your work as one of the deciding factors?
No, distance from work is not a factor.
Yes, distance from work is a factor.
Not employed
8
*
How far is the program's location from your home?
Less than 5 miles
Between 5 and 10 miles
Between 10 and 15 miles
Between 15 and 20 miles
More than 20 miles
9
*
How far is the program's location from your work?
Less than 5 miles
Between 5 and 10 miles
Between 10 and 15 miles
Between 15 and 20 miles
More than 20 miles
Not employed
10
*
How many minutes is the one-way trip from the program's location to your home?
Less than 10 minutes
Between 10 and 20 minutes
Between 20 and 30 minutes
Over 30 minutes
11
*
How many minutes is the one-way trip from the program's location to your work?
Less than 10 minutes
Between 10 and 20 minutes
Between 20 and 30 minutes
Over 30 minutes
Not employed
12
*
What is the maximum distance (in miles) you are willing to travel to the program?
13
*
What is the maximum amount of time (in minutes) you are willing to spend traveling to the program?
14
*
The distance from my home or work to my Beech Acres Parenting Center program is acceptable to me.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
15
*
The distance from my home or work determines whether or not I will attend a program.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
16
*
I know of someone who wants to participate in a program at Beech Acres Parenting Center, but cannot because the distance is too great.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
17
*
Gender
Male
Female
18
*
How many children do you have?
19
*
How many children are living in your household?
20
*
Educational Level:
Not High School Graduate
High School Graduate
Vocational or Technical School
Some College/Associate's Degree
Bachelor's Degree
Graduate or Professional Degree
21
*
Marital Status
Single
Co-habitating
Married
Separated
Divorced
Widowed
22
*
Race/Ethnicity
African American/Black
Appalachian
Asian
Caucasian/White
Hispanic
Multi-Racial
Native American
Other
23
*
Household Income
No Earnings
Under $20,000
$20,001-$30,000
$30,001-$45,000
$45,001-$60,000
$60,001-$80,000
$80,001-$100,000
$100,001 or more
Unknown
24
*
Employment Status
Part-Time
Full-Time
Disabled/Not Working
Retired
Stay at Home Parent
Student
Unemployed
Upcoming Events
Parent Enrichment Series
Thu, 29 Jul 2010
6:00 PM - 8:00 PM
Parent Enrichment Series
Thu, 05 Aug 2010
6:00 PM - 8:00 PM
Parent Enrichment Series
Thu, 12 Aug 2010
6:00 PM - 8:00 PM
CPR & First Aid
Tue, 17 Aug 2010
9:00 AM - 2:30 PM
More Events
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