Community Assessment

Bridges Head Start and Early Head Start - Programs of Parent Child Development Corporation (PCDC)

The mission of Parent Child Development Corporation is to empower families to improve the quality of their lives through educational and self-help programs, family support services, and advocacy activities in partnership with the community. Please complete this survey in its entirety so we can better assist you.

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* 1. In what county do you currently reside?

Charles City

New Kent

King William

Mathews

Middlesex

West Point

Gloucester

Other (please specify)

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* 2. Are you receiving Public Assistance? (Select all that apply)

TANF

Food Stamps

WIC

SSI

Community Assessment

Bridges Head Start and Early Head Start - Programs of Parent Child Development Corporation (PCDC)

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* 1. In what county do you currently reside?

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* 2. Are you receiving Public Assistance? (Select all that apply)

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* 3. How many people currently reside in your household?

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* 4. Do you have children ages 6 weeks to 4 years old (as of September 30th)? (Please list ages)

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* 5. How can we contact you? (Please leave your Full Name, Phone Number, and Email Address)