AEIS
Questionnaire
Please help us determine how
AEIS
materials are being used by completing the questionnaire below.
1. Are you a ...? (required)
Parent/family member
EI provider
Family Support Organization
Other (please specify)
2. How do you plan to use these materials?
(check all that apply)
Personal use
Outreach to parents/families
Outreach to child-care providers
Outreach to medical care providers
Outreach to faith-based community
Training/workshop
Other (please specify)