Focus Group Opportunity

All Children Are Born Healthy

Family Voices wants to hear from people who are either pregnant or parents of young children and live in low-income households, (especially people of color with children birth to age 3).
What do you think needs to happen to make sure all children in the U.S. are born healthy & families have the resources and support they need to thrive?
We want to understand:

• How your family has engaged with childcare, early intervention programs, and other family support services.

• If and how you have experienced racism and how that has affected your access to the care your family needs.

• How your income affects the benefits your children and family might need.

The Zoom focus group will be held in early January 2023.

If you're selected to participate in a focus group, we will contact you by email and cell with the exact date of your group.

You will receive $175 to thank you for sharing your time and experiences with us. Only focus group participants will receive payment.

If you have questions now, email LaToshia Rouse or Kate Robinson.

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* 1. Please provide the following information.

First & Last Name

Cell Phone Number with area code (this is how we will let you know you are invited to a focus group)

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* 2. Where do you live?

Mississippi

Louisiana

Ohio

Illinois

Texas

Other (please specify)

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* 3. Tell us about the area where you live.

Urban

Suburb

Rural

Frontier

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* 4. Please let us know the following (check all that apply).

I am currently pregnant

I am the mother of a child younger than 3 years old

I am the father of a child younger than 3 years old

I am a caregiver of a child younger than 3 years old

My child or the child I care for has a special health care need or disability

Other (please specify)

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* 5. What type of health insurance do you have (check all that apply)?

Employer-sponsored insurance

Medicaid

CHIP - unborn child option (CA, LA, IL, TX only).

Tricare (the health care program of the U.S. military system)

No insurance at this time

Other (please specify)

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* 6. What type of health insurance does your child younger than age 3 have (check all that apply)?

Employer-sponsored insurance

Medicaid

Medicaid Waiver for a child with a disability

CHIP

CHIP - unborn child option (CA, LA, IL, TX only)

Tricare (the health care program of the U.S. military system)

No insurance at this time

Other (please specify)

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* 7. How do you identify by race and ethnicity (check all that apply). Note: you do not have to answer this question, but race and ethnicity are selection criteria for the focus groups.

African American or Black, non-Hispanic

African American or Black, Hispanic

American Indian/Alaska Native, non-Hispanic

Asian, non-Hispanic

Multiple race, non-Hispanic

Native Hawaiian/Other Pacific Islander, non-Hispanic

White, non-Hispanic

White, Hispanic

Two or more races, non-Hispanic

Two or more races, Hispanic

Prefer not to answer

Other (please specify)

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* 8. Let us know your preferred language

English

Spanish

Other (please specify)

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* 9. If you are not selected to participate in the focus group, may we keep your information on file and contact you again about other family engagement opportunities?

Yes

THANK YOU!