St. Lawrence Child Care Council, Inc. | Agency Parenting Education Survey

Please let us know the types of parenting education services you provide so that we may refer parents to you.

Agency name:*

Primary contact first name:*

Primary contact last name:*

Primary contact position/title:*

Phone number (555) 555-5555*

Email address:

Address:*

Agency address:*

City:*

State:*

Zip:*

County:*

Website:

Does your agency provide parenting education?

Yes

No

Does your agency have brochures or flyers to share?

Yes

No

What method does your agency offer parenting education? check all that apply

Other:

Does your agency offer the following topics? check all that apply

Recognizing and choosing high quality child care

Promoting positive relationships between the parent and the child care provider

Addressing children's behavioral issues

Children's social emotional development

Age-appropriate activities

Developing children's language and literacy skills

Children's health and safety

Other: