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Smithtown Youth Bureau Parenting  Support Survey

The Town of Smithtown Youth Bureau is a municipal department dedicated to the well-being of youth and families throughout the township. This includes parenting programs and supports in the form of educational presentations and programs. 
 
Parents, please complete the survey below to assist the Youth Bureau in determining what parent support programs would be most beneficial to the community. The information collected will be used to plan upcoming workshops.
 
Thank you for your time and valuable input!
1.What are the age ranges of your children? (Select all that apply)(Required.)
2.Which school district do you currently reside in?(Required.)
3.Please select which of the following apply to you: (Select all that apply)(Required.)
4.Select your preferred method of program delivery:(Required.)
5.Select the day(s) you would be most likely to attend a program: (Select all that apply)(Required.)
6.Select the time(s) you would be most likely to attend a program: (Select all that apply)(Required.)
7.Which workshop format(s) would you be most interested in: Rate Each(Required.)
No Interest
Slight Interest
High Interest
Specific Parenting Tips and Tools
Stages of Child Development
Film Discussion
Group Discussion-Based
Lecture/Presentation-Based
Interactive with attendee exercises
8.Which of the following Parenting Skills Tips and Tools Workshop Topics would you be interested in? Rate Each(Required.)
No Interest
Slight Interest
High Interest
Conflict Resolution
Helping Your Child Deal with Depression/Anxiety
Helping to Organize your Family
Positive Parenting - Positive Reinforcement & Consequences (not punishment)
Parenting Do's & Don'ts
9.Which of the following Stages of Child Development Workshop Topics would you be interested in? Rate Each(Required.)
No Interest
Slight Interest
High Interest
Infancy - Age 4 Relevant Topics
Age 5 - Age 9 Relevant Topics
Age 10 - 14 Relevant Topics
Age 15 and Older Relevant Topics
Kids Entering Middle School
Kids Entering High School 
Kids Going Away to College
10.Which of the following Dealing with Specific Problematic Issues Workshop Topics would you be interested in? Rate Each(Required.)
No Interest
Slight Interest
High Interest
Technology and Social Media Usage
Sibling Dynamics and Rivalry
Peer Pressure & Bullying
Emotional Outbursts and Disobedience
11.Which of the following Building Resilience; Self-Esteem & Grit Workshop Topics would you be interested in? Rate Each(Required.)
No Interest
Slight Interest
High Interest
Fostering Creativity; empathy and civic engagement
Fostering autonomy and independence
Teaching and Modeling Effective Communication
12.Which of the following Couples- Relationship Workshop Topics would you be interested in? Rate Each(Required.)
No Interest
Slight Interest
High Interest
Parenting Styles and Parenting Together
When Parenting Styles Conflict
Effective Communication Skills
Conflict Resolution Strategies
Building Empathy & Stronger Bonds
13.Which of the following Personal Development Workshop Topics would you be interested in? Rate Each(Required.)
No Interest
Slight Interest
High Interest
Time Management & Making Time for Yourself (Balance)
Organization and Goal Setting
Therapeutic Art
Nutrition for better health
Self-Care - Emotional & Physical
Mindfulness & Meditation
14.Any additional suggestions you would like to offer regarding parent support programming?
15.To subscribe to our newsletter and be notified of any upcoming parenting workshops in the future, please enter your email address in the box below.
Thank you for your time and valuable input.