P2P Detailed Survey

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P2P Detailed Survey

The following information is collected for three purposes: 1. Keeping a detailed and current database allows us the best opportunity to match parents seeking support with someone who "gets it." 2. Detailed demographic information makes us aware of growing communities and cultures which shapes our future programming. 3. We are a grant-funded organization and the amount of funding we receive is directly related to our ability to report demographic details.

**ALL IDENTIFYING INFORMATION SHARED WITH PARENT TO PARENT AND FAMILY VOICES OF TN WILL BE KEPT CONFIDENTIAL. NAMES AND CONTACT INFORMATION WILL NEVER BE USED OR SHARED WITHOUT EXPLICIT PERMISSION. IF YOU HAVE ANY CONCERNS - EVER - DO NOT HESITATE TO REACH OUT TO MARY KATE BROWN, DIRECTOR OF OPERATIONS, AT 615-513-3609.

I understand that my information will never be shared without my explicit permission. *

Yes

Required

First Name *

Last Name *

Has your name changed in the last 5 years? *

yes

If it has changed, what name(s) might be in our records? (We want to condense files for efficiency.)

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