Fatherhood Leading with a Purpose

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Area Code

Phone Number

5

What county do you reside in?* This field is required.

New Castle

Kent

Sussex

Outside Delaware

6

Will you be attending this event?* This field is required.

YESNO

7

Do you identify as a father or father figure?* This field is required.

Yes

No

8

How interested are you in participating in father-focused community events?* This field is required.

Very interested

Somewhat interested

Not interested

9

What would motivate you to attend an event?* This field is required.(Select all that apply)

What would motivate you to attend an event?

Incentives/gift cards

Childcare available

Convenient time

Convenient location

Relevant topics

Other:

10

If, you entered Other, please explain

11

What types of events would you attend?* This field is required.(Select all that apply)

Sporting events

Health & wellness events

Parenting workshops

Family activities (5K, games, etc.)

Community meetings

Social/networking events

Other:

12

If, you entered Other, please explain

13

What topics are you most interested in?* This field is required.(Select all that apply)

Parenting skills

Co-parenting/relationships

Child development

Mental health

Physical health

Financial literacy

Employment/career support

Other:

14

What days/times work best for you?* This field is required.(Select all that apply)

Weekday morning

Weekday afternoon

Weekday evening

Weekend morning

Weekend afternoon

Weekend evening

Other:

15

What community resources would benefit you most?* This field is required.(Select all that apply)

Job support

Financial assistance/credit repair

Mental health services

Legal/family court support

Child support guidance

Re-entry services

Medical referrals

Other:

16

What would make father-focused programs more engaging for you?