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Needs Survey Questions
Young Children: Priority One


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Helpful Hints

Needs Survey Questions on Early Childhood Programs

Needs Survey Questions on Child Health Services and Pediatric Trauma

Needs Survey Questions on Parent Support

Needs Survey Questions on Safety

Needs Survey Questions for Parents of Young Children

Needs Survey Questions on Maternal and Child Health

This booklet contains questions for needs surveys related to children's issues in your community. Suggestions for possible contacts are listed below. When conducting the surveys, try to obtain an answer for every "yes/no" question. A "no" answer to any question—or a qualified response of "yes, but"—suggests that further research should be done to determine the issue's severity and course of action your club should take to address to that issue.

Helpful Hints:

Needs Survey Questions for Parents of Young Children—ageneral needs survey among parents of young children. Obtain a mailing list of parents of young children from children's specialty stores, hospitals, or the local government office that registers births. Distribute the survey at businesses, child-care facilities, or community centers. Be sure to include all socioeconomic and ethnic groups in the community. After you tabulate the results, discuss your findings with local experts on the identified issues.

Needs Survey Questions on Child Health Services and Pediatric Trauma—questions regarding children's health issues and pediatric trauma facilities. Consult with the county health commissioner, your local hospitals, pediatricians and family practitioners, and emergency medical technicians.

Needs Survey Questions on Parent Support—determinesthe level of education and support given to parents. Contact pediatricians and family practitioners, the mental health association, child protective services, family court or juvenile court judges, early childhood educators, and clergy.

Needs Survey Questions on Safety—establishesthe potential for and incidence of accidental childhood injury. Survey the county health commissioner, hospital emergency room physicians and nurses, pediatricians and family practitioners, firefighters and police officers, the Red Cross, your local safety council, and any other organizations that promote safety.

Needs Survey Questions on Early Childhood Programs—measuresthe availability of affordable, quality child care and early childhood programs. Talk with local government regulators of such programs, child-care resource and referral agencies, teachers and child-care providers, administrators of programs for low-income families (for example, Head Start), pediatricians, and professional associations (such as a local affiliate of the National Association for the Education of Young Children).

Needs Survey Questions on Maternal and Infant Health—determines the accessibility of health and nutrition programs for pregnant mothers and infants. Check with the health commissioner, obstetricians and gynecologists, pediatricians, hospital service providers, and others who deal with maternal and infant health issues.

These surveys were adapted from the Healthy Children community assessment quiz developed by Philip J. Porter, MD.


Is there a resource and referral agency in the community?

Does the capacity of early childhood programs meet the demand?

Does the quality of early childhood programs meet the demand?

Is there a government-sponsored program, such as Head Start, available to young children living in poverty?

Does it meet all the needs for such a program?

Does the Reading Is Fundamental program operate in early childhood programs in the community?

Is there a family literacy or family development program in the community?


Child Health Services

Are comprehensive primary care services available to children from all income groups?

Is your community free of measles, polio, diphtheria, and whooping cough?

Are 90% of the children over age 2 fully immunized?

Are the emergency wards of your hospitals used only for true emergencies rather than for routine care?

Do the following services exist?

Pediatric Trauma

Are the local emergency medical technicians trained in the differences between severe pediatric trauma and adult trauma?

Do the ambulances and hospital emergency rooms have equipment designed to fit young children?

Is the local hospital adequately prepared to be a primary care hospital for pediatric trauma?

Is there a secondary care hospital for pediatric trauma within fifty miles?

Is there a tertiary care hospital for pediatric trauma that can be reached by helicopter in an hour?


Are there programs that educate new parents about caring for their children?

Do young parents know what resources are available in the community to help them raise their children?

Is there a family resource center in the community?

Are there programs available for parents who want to learn how to be better parents?

Are there programs available for parents who face special obstacles, such as poverty, lack of education, or physical disabilities?

Are there programs available for families in crisis?


Could the number of accidents involving young children be reduced?

Is there a well known crisis hotline for emergency services?

Is the seat belt law for children enforced?

Are there ordinances requiring installation of smoke detectors, anti-scald safety valves, or lower-temperature water heaters in multi-family dwellings?

Do homes generally have smoke detectors? Do they work?

Are there swimming or drown-proofing classes for young children?

Is there a training program for baby-sitters?

Is there a poison education program or hotline in the community?

Is there a program to check the safety of older apartment buildings in the community?


Please give your age, the age of your spouse, and the age of your children.


What are the greatest needs of young children, and their families, in this community? Please consider the areas of:

What do you know today about parenting that you wish someone had told you when you became a parent?


Are there charitable or government-supported clinics that make it possible for all pregnant women to have prenatal check-ups?

Is there a program that makes young women aware of the need for prenatal check-ups and their availability in the community?

Does your hospital have a newborn intensive care unit? If not, is such a resource available nearby?

Are the neonatal and infant mortality rates for your community at or below the state average for people of all ethnic populations?

Is there a nutritional program for women, infants, and children, like WIC?

Are there reproductive health services available for adolescents and are these services appropriately used by them?

Is the number or pregnancies to unmarried women below the age of 17 zero?

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