This free survey is powered by
  1. Surveys
  2. 2014
  3. May
  4. Y
  5. YoungLives
0%
Exit Survey
 
 
You are invited to participate in our survey about YoungLives.
This survey will help us better understand the needs of the mothers we serve. We want to provide the best services that we can to all of our families, and this is one way to help us keep on track. The survey contains questions about your experiences as a parent and your outlook on life in general.
All of the information that you share with us will be kept confidential and you do not have to put your name anywhere on the survey. Your participation in YoungLives will not be affected by any answers that you give us in this survey. Your specific answers will not been seen by anyone in YoungLives, and there are no right or wrong answer.
 
 
 
What is your date of birth?
 
 
 
What is your YoungLives area number?
   
 
 
 
Are you currently pregnant?
 
Yes
 
No
 
 
 
When is your due date?
 
 
 
How many times have you gotten pregnant?
 
 
 
What is your race/ethnicity?
 
African-American
 
Asian-American
 
Hispanic or Latina
 
Multi-racial
 
Native American or Alaskan Native
 
Native Hawaii/Pacific Islander
 
White (non-Hispanic)
 
Other
 
 
 
 
How long have you been participant in YoungLives? (number of months)
 
 
 
Have you been paired one-on-one with a mentor?
 
Yes
 
No
 
 
 
How long have you had a mentor?
 
once
 
twice
 
three
 
Share This Survey:          Survey Software Powered by QuestionPro Survey Software