Purposeful Parenting Questionnaire

Deut. 6:6-7 “And you must commit yourselves wholeheartedly to these commands that I am gving you today.  Repeat them again and again to your children.  Talk about them when you are at home and when you are on the road, when you are going to bed and when you are getting up.”

What are the ages of your children?
 (0-1) (2-3) (4-5) (6-10) (11-14) (15 and older)

Are you interested in attending additional "Purposeful Parenting" courses?
 Yes No

If so, what information would you be interested in learning more about? (to select more than one, hold down the control button as you click on the selections)

If you selected other, please specify

Are you interested in being involved in shaping future parenting and family events/courses?
 Yes No

If you would like to be informed of or involved in upcoming parenting and family events/courses please provide your contact information below:

Your Name

Your E-mail

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