ROOTS FAMILY COLLABORATIVE - ROOTS FAMILY COLLABORATIVE

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Survey for Perinatal Professionals

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

Name *

First

Last

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What type of Perinatal Professional are you? ( MD, Certified Nurse Midwife, LCPC, Postpartum Doula, Women's Health Physical Therapist, etc. ) *

Your feedback is extremely important to us. Please choose your level of agreement with the following statements about the work of Roots Family Collaborative.

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

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

Roots Family Collaborative facilitates the referral of parents to a wide variety of resources in our community? *

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

While working with patients/clients how likely are you to refer to Roots? *

Extremely likely Somewhat likely Neither likely or unlikely Somewhat unlikely Extremely unlikely Not sure

If you have specifically referred a client/patient to Roots, how satisfied were you with the experience? *

Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied Not Applicable

Do you have any additional feedback for Roots, including ideas about programming or ways in which we could be more helpful to perinatal providers? *

Submit my responses

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.

Home
- About Us
Donate
Give Big 2023
Roots Monthly Calendar
- Groups for Parents >
- Classes and Special Events >
  - Prenatal Breastfeeding
  - Special Events
Resources
Get Involved
- Volunteer/Wish List
Moms Like Me
- MLM Sponsorship 2023
Shop