Grandparents Raising Children Survey

Pennsylvania Resources Survey

In recent years, there has been a dramatic increase in the number of families with grandparents raising grandchildren. This trend is very clearly seen throughout Pennsylvania as well as across the nation. To support these families and help them navigate through the unique set of emotional, legal and daily living challenges they face, many organizations and groups have emerged. This survey aims to identify these groups and the services they provide. Your information will be incorporated into a statewide database of resources for grandparents raising grandchildren.

If you provide services for grandparents who are in the position of raising their grandchildren, please take a few minutes to fill out this brief survey.

Name of Program:
Name of Organization:
Contact person:	First name: Last name:	Phone:
Address:		FAX:
City/State/Zip:	,	E-mail:
Website address:

Brief Narrative Description of program:
County:
Geographical area(s) in which services are provided:
Approximate number of families served by the program(s):

Program Category: (Check the boxes that apply.)

Social/Emotional Support
Caregiver Support Groups		Individual/Family Counseling		Child Care
Children's Therapeutic Groups		Respite	Other

Legal
Legal Advice and Support		Mediation Services		Legislative Action
Other

Basic Living Resources
Financial Assistance		Housing resources/advice/advocacy		Clothing/Food
Health resources/advice/advocacy		Other public benefits/support

Education
For the Child (in schools, preschools, or other community setting)
For the Adult (formal or informal training in childcare; e.g., certificate program or continuing education course)
Other

Frequency of Meetings:

Average Number of Participants in Meetings:

Level of Formality of the Meetings:
Very Formal	Somewhat Formal	Not Particularly Formal/Informal	Somewhat Informal	Very Informal

What assistance might your group/program need to better obtain your objective(s) (e.g., identifying potential speakers, gathering information, obtaining publications, etc.)?

Any additional comments (about your services, this survey, etc.)?


NOTE: Your information will NOT be immediately available, all entries must first be approved by the program coordinator. The coordinator will be notified automatically after each survey entry.