Parent Survey

Famcare is interested in hearing the opinions of families with teens who live in Salem County. As a result we have created a parent survey.

We are asking you to complete the survey below and submit your input. The information we gather is helping us to provide workshops in the community that aim to improve parent/teen communication about tough topics. Our goal is to make our community healthier and stronger, and to empower young people.

We thank you for your time and input. The last line of the survey asks for your email address. This is completely optional. We are going to be conducting a weekly drawing for a gift card from the surveys returned, and if you are chosen, we will contact you by that email address. Again, thank you for your time.

Survey for Parent/Teen Communication Programs and Workshops

  • Please select on a scale of 1 (not at all important) to 5 (very important)
  • Please select on a scale of 1 (not at all important) to 5 (very important)
  • Please select on a scale of 1 (not at all important) to 5 (very important)
  • Please select on a scale of 1 (not at all important) to 5 (very important)
  • Please select on a scale of 1 (not at all important) to 5 (very important)
  • Please select on a scale of 1 (not at all important) to 5 (very important)
  • Please select on a scale of 1 (not at all important) to 5 (very important)
  • Please select on a scale of 1 (not at all important) to 5 (very important)
  • Please select on a scale of 1 (not at all important) to 5 (very important)
  • Please select on a scale of 1 (not at all important) to 5 (very important)
    Check all the apply
  • You must submit your email to be eligible for the drawing