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RSEI Parents + Families Survey
This survey is voluntary and intended to capture the needs of parents and families by helping the Responsible Sex Education Institute to determine what topics should be prioritized when creating and adapting Virtual Parent + Family programming. All answers will remain anonymous and emails are not collected.

For more information, visit responsiblesexedinstitute.org 

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What state do you reside in? *
Please select the caregiver role that applies to you: *
Required
If selected other, please write the relationship you have with your youth/child(ren):
What is your Race/Ethnicity? (Select all the apply) *
Required
What language(s) are spoken at home? *
What age range do your youth/child(ren) fall in? Check ALL that apply: *
Required
Please rate your level of agreement with the following statement: I feel confident starting conversations with my youth/child(ren) about sexual and reproductive health. *
Strongly Disagree
Strongly Agree
Please rate your level of agreement with the following statement: I know how to find sexual and reproductive health resources for my youth/child(ren). *
Strongly Disagree
Strongly Agree
Have you used (or heard) about our TALK text line before? *
What ways do YOU (parent/family) learn best? Check all that apply. *
Required
Do you have access to internet?
Clear selection
Do you prefer self-paced (asynchronous) learning modules that you can do on your own or do you prefer attending sessions with other folks? *
What topics would you like to learn more about to support the youth in your life? Check all that apply. *
Required
What kind of support do you need when it comes to talking about Sexual and Reproductive Health to your youth/child(ren)? Check all that apply.  If not listed in this section, the next question will allow you to add in the type of support you need. *
Required
If not listed above, please use the space below to tell us more about the support you need or want when it comes to talking about sexual health with your youth.
What days would work best for live sessions? Check all that apply. *
Morning (8am-11am)
Afternoon (12pm-3pm)
Evening (4pm-7pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Optional: Include your email address below to get notifications when new parent and family programming is available.
For more information about RSEI Parents and Families Resources, visit: https://responsiblesexedinstitute.org/at-home/ 
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