Improving Relationships Survey
Please complete this survey to indicate your interest in participating in activities and/or receiving resources to improve or support the relationship between you and your spouse, significant other, and/or coparent.
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Please select which best identifies you:
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Are you a participant of a program providing parenting or fatherhood services (i.e., Rose, Healthy Start, etc.)? If so, please type it here:
Do you believe that there is room for improvement in the relationship between you and your spouse, significant other, and/or coparent?
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What skills do you think could improve the relationship between you and your spouse, significant other, and or coparent? (Or, what do you think can help others?)
What resources do you think could improve the relationship between you and your spouse, significant other, and or coparent? (Or, what do you think can help others?)
Would you be interested in participating in activities centered on improving relationships between men and women (coparents, married couples, etc.)
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If you are interested in relationship-improving activities, what topics would you like to see covered?
What day of the week would you be available to participate? (Check all that apply)
What time of day would you be available to participate? (Check all that apply)
If there is a specific time that would work best for you, please indicate it here: (for example: 7pm on Wednesdays)
Please share your email address if you would like to be contacted to receive updates on upcoming events
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