Thank you for your interest in the How Kids Develop website.

Please note, we do not have the workforce or legal capacity to answer questions about individual children and/or families at this time. However, we welcome your comments and suggestions.

To help us tailor this website to your needs, we would appreciate the following information:

1. How did you hear about the How Kids Develop website?

Flyer	My child's doctor	My child's school
Prop 10	C3	DESP
My child's childcare provider
Other:

2. On a scale of 1 to 5, how helpful did you find this site?

1 - very helpful      2      3      4      5 - not helpful

3. The computer you are visiting this website from is located at:

Your home      Your work      Public library      School     
Other:
Do you have access to a computer at home?      Yes           No
Do you have access to the Internet at home?     Yes           No

4. How likely are you to visit this site again?
Very likely            Somewhat likely           Not likely


5. Are there other topics that you would like to see covered on this website?



6. What did you like or dislike about the website?



7. Are there any other comments you have for us?

Demographic Information:

What is your zipcode?


Mark the one that best describes your interests in child development:

Parent      Teacher      Clinician      Patient      Child Care Provider     
Other:

Gender:    Male  Female

Age:	Under 18	18 - 25	26 - 35	36 - 45
	46 - 55	56 - 65	Over 65

Race/Ethnicity:	Asian	African-American
	Hispanic	Caucasian	Other: