F5 Parent Needs Questionnaire Form

First 5 Plumas - Parent Needs Questions

As a parent in Plumas County, you have an informed perspective on the needs of children (aged 0-5) and families in our community. First 5 Plumas would like your input. We are interested in learning more from you about the services and systems that support families. The focus of this questionnaire is children and families, prenatal through 5 years.
1. Successes: What are the things in your parenting journey that have the most positive impact?
2. What are the most challenging things to you, in raising a child, and are there ways First 5 Plumas could help?
3. Choose the 3 most important services would you like to see First 5 Plumas invest in - what would be most helpful to your family?

Home Visiting for prenatal, infant bonding, developmental activities, nursesPlaygroupsFree books for children - Imagination LibraryParenting groups/trainingsDental/Health and developmental screeningsStaff that could help you navigate services and parenting related questionsChild Developmental Information and ScreeningsOther

4. What are the best ways to reach parents?

	Yes, this is a great way to reach parents.	I would sometimes get info this way.	Nope.
Instagram
Facebook
Email
Text
Website
Flyers
At events: Children's Fair, etc.

5. If you have a child older than 5 years, who has been to kindergarten, tell us what would, or did, help with transitioning to kindergarten.
6. I have children ages (click CTL for multiple selections):
7. Is there anything else you would like First 5 Plumas to know?
Name (optional, if you would like us to contact you)

First NameLast Name
E-mail
example@example.com
Should be Empty:

First 5 Plumas - Parent Needs Questions