2022 Jo Daviess County Dolly Parton Imagination Library Survey Thank you for taking our survey & helping us continue the DPIL in our area! Question Title * 1. How many children in your household are currently enrolled in the Dolly Parton Imagination Library program? 1 2 3 4 5 More than 5 Question Title * 2. Select the ages of the child/children enrolled in the Imagination Library? (Check all that apply) Child 1 Child 2 Child 3 Child 4 Child 5 Child 6 Less than 12 months old Less than 12 months old Child 1 Less than 12 months old Child 2 Less than 12 months old Child 3 Less than 12 months old Child 4 Less than 12 months old Child 5 Less than 12 months old Child 6 1 year 1 year Child 1 1 year Child 2 1 year Child 3 1 year Child 4 1 year Child 5 1 year Child 6 2 years 2 years Child 1 2 years Child 2 2 years Child 3 2 years Child 4 2 years Child 5 2 years Child 6 3 years 3 years Child 1 3 years Child 2 3 years Child 3 3 years Child 4 3 years Child 5 3 years Child 6 4 years 4 years Child 1 4 years Child 2 4 years Child 3 4 years Child 4 4 years Child 5 4 years Child 6 Question Title * 3. Have any of your children reached the age of 5 and graduated out of the Dolly Parton Imagination Library program? 1 2 3 4 5 More than 5 None Question Title * 4. If your child graduated out of the program, how many years did your child receive Imagination Library 1 2 3 4 What year did you enroll him/her (2017, 2018, 2019, 2020, 2021) Question Title * 5. Has participating in the Imagination Library increased your child's/children's requests to read books? Yes No Not sure N/A (child is less than 3 months old) Question Title * 6. On average, how often do you read with your child/children? One or more times a day Almost every day Several times a week Weekly Less than weekly Question Title * 7. Has receiving books from the Imagination Library increased how often you read with your child/children? Yes No Question Title * 8. Has receiving books from the Imagination Library increased your interactions with your child/children? Yes No Question Title * 9. Do you feel that receiving books from the Imagination Library increases your child's/children's language skills? Yes No Don't know N/A (child is under 3 months of age) Question Title * 10. Has receiving books from the DPIL increased the diversity of your at-home library? Yes No Question Title * 11. If you were not receiving DPIL books, would the number of books your child/children have access to in the home be: Limited About the same Question Title * 12. Did your child/children attend one of the following Early Childhood Centers Headstart Little Learners Sunny Day Preschool Other Childcare Question Title * 13. Will your child/children begin kindergarten this fall (2022)? Yes No Is yes, which child/children? And which school? Question Title * 14. If your child will be entering kindergarten in the Fall, will you consider sharing his/her kindergarten scores with us to help us measure the success of the Imagination Library on kindergarten readiness? This will involve signing a release of information with United Way of Northwest Illinois and we will only use this information to assist us with securing additional funding for the program and to measure its success. Yes No Question Title * 15. If you are willing to help us measure the success of the program, please add your email address here and we will follow up with you. Question Title * 16. Did you know that the Imagination Library is a United Way of Northwest Illinois funded program? Yes No Question Title * 17. What is your current age? Under 20 20-29 30-39 40-49 50+ Question Title * 18. Please consider sharing a story in this space about how your child enjoys the books they received or how you have increased spending time reading with your child. Question Title * 19. Please enter your Zip Code Question Title * 20. Where did you hear about the Dolly Parton Imagination Library? Preschool or Child Care Library Newspaper Social Media Friend or Family Member Social Service Agency United Way of Northwest Illinois Website Other (please specify) Question Title * 21. Please share any additional comments and/or questions you may have regarding the program. (Optional) Question Title * 22. How likely is it that you would recommend the Dolly Parton Imagination Library program to a friend or colleague? Not at all likely Extremely likely 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 Question Title * 23. Would you be interested in sharing a picture of your child/children reading a Dolly Parton book with us? Yes No Please add your name and email address here if yes. Question Title * 24. Contact Information (Optional) Name Email Address Phone Number Question Title Follow us on Facebook https://www.facebook.com/unitedwayNWIL/ or register your child now for the Imagination Library https://usa.imaginationlibrary.com/register_my_child.php#.WJs-RdIrKUk Done