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Butterfly Garden Club Survey

This Survey is for Single Parents, Custodial Parents/Custodial Relatives and Other Caregivers

Your answers will help us to fine tune the Butterfly Garden Club activities and will be strictly confidential.

1. Please check the category below which fits best. *

Single mom Single dad Custodial grandparent(s)

If Other please specify: *

2. What is your age group? *

10 to 25 young adult 26 to 55 adult 56 or older adult

3. How long have you been a single parent/custodial parent? *

Less than 5 years 5 to 10 years More than 10 years

4. Whom do you live with? *

Family members Independently and I visit my child(ren) Independently and with child(ren) New partner with my child(ren)

5. How are you supporting yourself? Please check all that apply. *

Child support Community Food Pantry Help from Parents/other relatives Unemployment/other assitance Work outside of the home Work at home/online

6. Do you enjoy gardening? Please check all that interest you. *

Growing food for you and your family Growing food to sell/donate to your local food pantry Growing Specialty crops Starting a business with others

7. Would any of these learning opportunities interest you? *

Attending Community College courses Attending family Free FUN activities Attending Master Gardener courses Joining a single parent Support Group Taking Agriculture classes online

8. Please check all below that would help you. *

A better housing situation Collaboration of a Supportive Group Emergency support Financial stability Free wholesome Family activities Steady, secure and safe child care Other

9. Do you need any special accommodations such as wheel chair access or others? *

Yes No

10. Would joining a FREE Garden Club for Single/Custodial Parents interest you? *

Yes No

Would you be interested in working with a small nonprofit to help develop this Pilot Program? *

Yes No

Submit

Thank you for making a difference. If you know any single parents/custodial parents, please tell them about us.

Volunteer Opportunities:
We are looking for volunteers to help us build this Pilot Program.

Please check any you skills you have or are interested in learning *

Building Planter Boxes Community Gardening Companion Planting Composting Skills Container Gardening Design/Building of Windbreaks Dry Garden Water Systems Farmers Markets Growing Mushrooms Irrigation Systems Permaculture/Sustainable AG Processing Medicinal Herbs Propagation Techniques Rainwater Harvesting Systems Vertical Gardening

If Other please specify: *

The Butterfly Garden Club needs other skills also. Please check any of these skills you have. *

Computer Skills Internet Media Skills Website Design & Upkeep

Submit

Please leave your email address for a response. All information given is confidential.

* Indicates required field

Name *

First

Last

Email *

Comment *

Submit

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Home
About
Contact
Photos
Links
What's Up?
Butterfly Garden Club
1
Surveys