ROOTS FAMILY COLLABORATIVE

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Community Feedback Survey

The purpose of this survey is for Roots to gain a better understanding of our community impact. This survey is voluntary and all responses will be kept confidential. If you have questions or would like to expand on any of the following, please contact Suzanne Bendick, Program Director at 406-570-0738.

1. Name (Optional) *

First

Last

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2. What is the first program you attended with Roots? *

3. Check all programs that you have attended. *

Blossom Mom Pregnancy and Infant Loss Support Circle Pregnancy After Loss Support Circle re:born Fresh Air Mamas Moms Like Me Mindful Mamas Prenatal Breastfeeding Conversations and Cocktails - Provider Networking Special Event or Workshop

4. If you have not attended a program with Roots, what are the barriers that are keeping you from joining? Check all that apply. *

The time never works for me Childcare Not sure what to expect I'm not sure what is holding me back Other

Please expand, if necessary *

5. How did you hear about Roots? Check all that apply. *

Primary Care Provider Friend Social Media Therapist Other

If other, please expand *

6. There are many factors which can make the transition from pregnancy to parenthood more challenging. Which of the following are relevant to your experience? *

High expectations of motherhood/fatherhood Medical Complications Pregnancy or Infant Loss Previous Mental Health complications Relationship Issues Loss of identity Isolation Other

Please expand, if necessary *

7. What factors motivate you to join a Roots program? Check all that apply *

I want to make friends with other parents I am looking for resources I want to be part of a group My partner encouraged me to come My provider encouraged me to come My emotional health is important to me Other None

If other, please expand *

Please rate your level of agreement with the following statements.

8. Coming to a program at Roots helps me feel less alone in my parenting experience. *

Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree Not sure

9. Roots Family Collaborative is filling a need in our community. *

Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree Not sure

10. Coming to a Roots program has added value to my life. *

Strongly agree Somewhat agree Neither agree or disagree Somewhat disagree Strongly disagree Not sure

11. Would you recommend Roots to a friend? *

Yes, for sure! Maybe Definitely Not Not sure

12. Do you have any additional feedback for Roots, including ideas about programming or ways in which we could be more helpful to our community? Or do you have a testimonial about your experience at Roots that we could share? *

Submit my responses

Thank you for your feedback.

Every family needs support!

110 S. Grand Ave
Bozeman, MT 59715

hello@rootsfamilycollaborative.com
406.570.0738

Mission

Our mission is to connect all families to the support they need from pregnancy to parenthood.

Roots Family Collaborative is a 501 (c) (3) non profit organization.

Every family needs support!

110 S. Grand AveBozeman, MT 59715

Mission

110 S. Grand Ave
Bozeman, MT 59715