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2NOT1 High Road Wk 1
This survey assists 2NOT1 provide the best training for fathers and participants. Identifying information is confidential.
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* Indicates required question
Email
*
Your email
Age
*
18-24
25-36
37-42
Other
What is your zip code?
Your answer
How many children do you have?
1
2
3
4
5
6+
Clear selection
Who referred you to the High Road program
*
Family Court
Department of Community Based Services
Child Protective Services
Friend
Co-parent
High Road graduate
Attorney
Therapist
Other
Do you get along with the co-parent
Yes
No
sometimes
I have more than one co-parent and I get along with all of them
I have more than one co-parent and I do not get along with any of them
I have more than one co-parent and I get along with at least one of them
Clear selection
Gender
*
Female
Male
Other (please specify)
Prefer not to say
Ethnicity
*
White
Hispanic or Latino
Black or African American
Native American or American Indian
Asian / Pacific Islander
Other:
Education
*
High School / GED
Some college
College degree
Graduate degree or above
Are you familiar with the 2NOT1 Fatherhood & Families, Inc. organization?
*
Yes
No
not sure
What do you do when you get angry?
*
Your answer
What does responsible fatherhood mean to you?
*
Your answer
What does conflict mean to you?
*
Your answer
Did you have an involved father growing up as a child (if you select "Other" please provide details)?
Yes
No
Maybe
Other:
Clear selection
What's the best way to discipline a child?
*
Option 1
Do you work with fathers
*
Yes
No
Maybe
What would you like to learn from 2NOT1's presentation ?
*
The benefits to children who have involved fathers
Challenges to fathers to be responsible
Understanding co-parenting
Effective recruitment of fathers into programs
Learn different approaches to fatherhood
Other:
Required
Do you believe a father's role in their children's life is as equally important as the mothers?
*
Yes
No
Maybe
Send me a copy of my responses.
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