Project PREPARE
Needs Survey 2008-2009

Please take a minute to answer the following questions. Your input will be very helpful in planning activities for the 2008-09 year. Your responses are confidential. We thank you in advance for completing this short survey.

The survey is also available in the Possibilities Newsletter, Summer 2008.

1. Have you or your staff participated in training activities sponsored by Project PREPARE?
    Check all that apply.

Workshops
On-site technical assistance

Listserv
Other - Specify

2. I would like training on the following topics:

3a. I would like to have workshops offered in my community or city:
Yes No

3b. If yes, please indicate what city:

4. Do you find the information in Possibilities newsletters useful?
Yes No

5. I would like to have the following information or topics included in future Possibilities newsletters:

6. What services would you like to see Project PREPARE provide?

7. My center has one or more children enrolled that have been diagnosed with a disability.
Yes No

Contact information (optional)

Your name:

Center name:

E-mail:

Phone Number: