JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Grandparents Survey
Hello DSAGR Grandparents,
We want to better serve YOU! Please complete this survey so, we can better assist you.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First and Last Name
Your answer
Please share your address
Your answer
Do you live within driving distance of Richmond, VA?
Yes
No
Clear selection
If you live outside the Richmond, VA area, please let us know where you live.
Your answer
Are you interested in connecting with other grandparents who have a grandchild with Down syndrome?
*
Yes
No
Maybe
If you answered yes above, what method do you prefer to connect with other grandparents:
*
Zoom
Facebook Group
I'll wait until we can meet in person again
At a meeting located in the Richmond VA area
In another location close to my home.
Group Email with other people
Text
GroupMe (or other social media communication platform)
Phone
Just receiving a general newsletter from DSAGR is all I need to stay in touch
Required
How have you been affected by the pandemic (if you feel you can share)
Your answer
Tell us about whether your grandchild (and/or grandchild's family) has been affected by the pandemic?
Your answer
Would you be interested in a virtual event that brings your grandchild together with you and other grandparents in a fun way - like a game?
*
Yes
No
(Optional) Are you connecting with members of your family raising a child with Down syndrome the way you hope to? If yes, please share what is working for you. If not, share how you feel disconnected and what remedy you wish for.
Your answer
Would you be interested in attending a webinar about any particular subject about Down syndrome?
*
Your answer
In what ways can you see DSAGR support you as a grandparent?
*
Your answer
Thank you so much for taking our survey! Please add any additional comments you'd like to share.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Down's Syndrome Association of Greater Richmond.
Report Abuse
Forms