Fatherhood Survey | The Loving Father

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Fatherhood Survey

Welcome to our Fatherhood Initiative survey! We want to hear from fathers and supporters of fathers in Yakima County. Your feedback will help us understand the current and future needs of our fatherhood initiative. The survey will take approximately 10 minutes to complete. Thank you for your participation

First Name

Last Name

Email

Phone

Fatherhood Issues/Topics that are needs or of interest to you?

Fatherhood Education

Legal/Custody/Family Law

DSHS/DCYF/CPS

Therapy

Healthcare

Mental Health

Re-Entry/Incarcerated Dads

Housing

Financial

Substance Abuse

Any additional details to support your choices above? You can be as specific as youd like.

Regarding Fatherhood Specifically What would you like to see happen?

Classes based on Fatherhood

Support Group with Other Fathers

Fatherhood Bonding Activities ie Fishing, etc

Fatherhood Retreat with Kids

Any additional details to support your choices above? You can be as specific as youd like.

Who Are You?

Do you need help/support?

If you answered Yes to the above question about needing help/support. Please explain below. Or if you have additional comments please leave them here.

Is this an immediate need?

Do you want us to contact you in the comming week?

How would you like to be contacted?

Call you

Email you

Text you

I want to subscribe to the newsletter.

Thanks for submitting!

The Loving Father

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