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Sweet Cheeks Diaper Bank Outcome Survey
Versión en español (Spanish version):
https://forms.gle/Pivpb5ihzJb1p9t27
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Which agency did you receive diapers from?
Choose
Community Action Agency- Cincinnati Hamilton County-1740
Adams/Brown County CAA-8446
Baby Steps at St. Elizabeth-8498
Bethany House-8542
Brighton Center-8450
Butler County WIC / SELF-8451
CAIN-8452
Calvary's Place-8454
CHEP-8453
City of Cincinnati- Cribs for Kids-8460
CityLink-8511
Community Builders-8457
Community Matters-10633
Complex Care (CCHMC Gen Peds)-8458
CoStars (Best Point)-8456
Cradle Cincinnati (CCHMC Neonatal Institute)-8459
Crossroad Harrison-8461
Crossroad Health Center (OTR)-8462
Dohn Community School-8519
Esperanza Latino Center-8712
First Step Home-8463
Gateway Community & Technical College-8465
GCBH-8464
General Pediatrics CCHMC-8466
Healthy Moms and Babes-8467
Helping Hearts-8468
Found House (IHN)-8472
Interparish Ministries-8470
Jack's Closet-8473
Kate's Cupboard-8474
Learning Grove-8475
Life Learning Center-8476
Love In Action-8478
Mary's Helping Hands-8480
Mason Food Pantry-8481
MEAC-8479
NKU-8483
Pathways-8485
Price Hill Will-11200
ProKids-8486
Queen City Kitchen-7729
Santa Maria Community Services-8489
St. Augustines Outreach Center-8490
SVDP-8487
TIP (CCHMC Psych)-8419
Trihealth Perinatal Programs-8494
Urban League-8495
YWCA-8497
Salvation Army-8488
Cincinnati College Preparatory Academy-11532
CHECK Clinic (CCHMC Gen Peds)-8584
Empowering Women Worldwide Ministries Inc.-11629
513 Relief Bus
Can't find your agency? Write it here:
Your answer
Date of Survey (if different from today)
MM
/
DD
/
YYYY
# of Children in Diapers
Your answer
Number of working adults in your household?
0
1
2 or more
Clear selection
About how long have you been getting diapers from Sweet Cheeks Diaper Bank?
This is my first time
About a month
A few months
Many months
About a year
Clear selection
How do you feel about the number of diapers received?
It is not enough
It is just right
It is too much
Clear selection
Receiving these pull-ups/diapers for my child(ren) allows me to (check all that apply):
Take child to daycare
Reduce stress
Go to work
Buy food
Look for work
Make my child happier
Help my child be healthier
Go to school or job training
Pay a bill
Buy non-food items like toothpaste or soap
Save money for something else
Other:
If you answered "save money for something else", what else?
Your answer
Is there anything you want Sweet Cheeks Diaper Bank to know?
Your answer
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