Valley Creek Baptist Church / Ministries / Special Needs Ministry

“I will praise thee, for I am fearfully and wonderfully made…”

- Psalm 139:14

Please complete each question below to better help us organize our group and better meet your needs. Your time and input is valued and appreciated!

How have you become interested in a special needs parenting support group?

How often would you be available to attend meetings?

If you selected other in the question above, please provide details here:

Would child care need to be provided in order to enable you to attend meetings?

Yes

No

If child care is needed, would that include care for your special needs child/children?

Yes

No

What types of support would be helpful for you and your family? (Choose as many as you would like).

A place and time to exchange ideas and problem solve with other parents of special needs children.

Access to study materials, such as books or videos, to be used in a group setting.

Topic discussions, which may include special speakers.

Biblical encouragement, which may include Bible studies, prayer support, and guidance in your parenting journey.

Group outings and activities which are inclusive of all special needs family members.

Group outings and activities with other special needs parents.

Access to information regarding community resources for special needs children and families.

Support in dealing with issues regarding your child’s IEP and navigating school related situations.

Other

If you selected other in the question above, please provide details here:

Would you feel comfortable sharing your family’s story with the group at some point? (You will not be pressured to do this, but we would love to hear from those who feel comfortable sharing.)

Yes

No

Contact Information

Please tell us about yourself.

Name

Address

Preferred Phone #

Email Address

What is your preferred method of communication?

Phone calls

Emails

Text messages / reminders

Facebook

Please tell us about your children, if applicable. (Name, age, and any other information you wish to include.)

Is there anything additional you would like to share or ask? If so, please do so below.

Thank you so much for your input!

Special Needs Parenting Support Group Survey