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Parent Surveys

Help us collect valuable data from the parents/guardians you serve! The short survey can be completed at any time and asks questions about tobacco use and exposure, desire to quit, and whether or not they have received tobacco education.

Any parent/guardian who completes a survey (and provides their contact information) will be entered into a quarterly drawing for a $50 Walmart gift card! If someone requests help with quitting on the survey (and provides contact information), we will follow up to offer support and resources. Contact information will not be shared or used for any other purpose.

The surveys are available in English and Spanish and could be completed at enrollment nights, during parent-teacher conferences, at home visits, in one-on-one or group settings, or online at any time! Post the Parent Survey Flyer in your organization to invite parents/guardians to complete the survey. Or share the link to the parent survey (below) in your newsletter, parent emails, or on social media. These surveys could be completed at enrollment night, during parent-teacher conferences, at-home visits, in one-on-one or group settings, etc.

Additional Resources:

  • Surveys can be filled out online​ in English OR online in Spanish
  • Include the following sample text in your organization’s newsletter or in an email to the families you serve:  “Parents/Guardians…please take a few minutes to fill out a short survey from our tobacco education partner. Any parent/guardian who completes a survey (and provides their contact information) will be entered into a quarterly drawing for a $50 Walmart gift card! You can find the survey in English here: https://www.surveymonkey.com/r/BreatheParentEnglish  or in Spanish here: https://www.surveymonkey.com/r/BreatheParentSpanish“

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