Baby face qualitative Evaluation

Participant 
signature Date 
Group site/location
If you have any questions about the focus group or evaluation, you can contact: 
Jennifer Valorose, Wilder Research, 651-280-2654 or 
[e-mail]
 
 

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Baby FACE 
Wilder Research, January 2015 
 
Qualitative Evaluation 
51 
Focus group demographic survey 
Parents as Teachers – Baby FACE program 
Focus group survey
1. What is your relationship with the child? 

1 
Mother 

2 
Father 

3 
Grandmother 

4 
Grandfather 

5 
Sister 

6 
Brother 

7 
Aunt 

8 
Uncle 

9 
Other: _______________________________ 
2. How many children do you have? _____________ 
a. What are their ages? _____________________________________________ 
3. How old are you? _________ 
4. What is your current employment status? 

1 
Working full time 

2 
Working part time 

3 
On medical (maternity) leave, but will be returning to work 

4 
Unemployed, seeking work 

5 
Stay-at-home parent 

6
Other ________________________________________ 
5. What is your highest level of education? 

1 
Some high school or lower 

4 
2 year degree or technical college 

2 
High school graduate or GED 

5
College graduate (BA, BS) 

3 
Some college 

6
Post-graduate work or professional school
6. What is your marital status? 

1 
Currently married or living with partner

2 
Single or divorced, not living with partner

3 
In a relationship, not living together