Early Head Start Expansion Survey 

Early Head Start is a companion to the Head Start Preschool program, serving infants and toddlers up to age three and pregnant mothers.  We are gauging interest for the program in our current Head Start service area - Bland County, Smyth County, Wythe County and Tazewell County.  Please complete the following survey to provide your input.

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County of Residence:  *
 City/Town of Residence *
Are you currently the parent/guardian of a child under three years old?  *

Would you be interested in your child participating in an Early Head Start program? 

*

Both center-based (children participate in a classroom at center location daily) and home-based (a home visitor works with the child in your home one day per week and group activities with other home-based children are regularly scheduled) options may be available.  Which are you the most interested in? 

*

Early Head Start centers and home-based activities occur year-round (i.e. there is no closure for the summer months).  Would this impact your child’s participation if he/she were enrolled? 

*
Would you be interested in expectant mother services if they were available?  
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If you would like to be contacted if Early Head Start becomes available in your area, please provide your name and a contact phone number: 

*
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