Laurel County Violence Prevention Initiative Questionnaire - Health Dept version

A coalition of leaders from the community has been working together on a Violence Preventive Initiative. Violence against infants and young children (age 0-4) has become our priority area of focus. Your input and feedback will be helpful in learning more about the issues surrounding infant/child abuse in Laurel County.


  1. Do you feel that infant/child abuse is a problem in Laurel County?
    Yes
    No


  1. If you were to see or hear of abuse, what would you do?
    Call the police
    Call your pastor
    Call 1-877-597-2331 (abuse helpline)
    Do nothing
    Call the Cabinet for Family & Children
    Tell a family member
    Confront the individual
    Other


  1. What form of violence occurs most often for infant/children age 0-4 years of age?
    Hitting or slapping
    Shaken Baby Syndrome
    Sexual abuse
    Verbal abuse
    Neglect (left alone, not fed, left in heat & cold)
    Other


  1. Prior to the birth of your infant/children were you offered any education on parenting skills?
    Yes
    No
    N/A- I have no children


  1. As your infant/children get older are there topics of concern regarding your child’s behavior, well-being & development that you would like to have offered to you?
    Bullying
    Self esteem
    Acting Out
    Acceptable & unacceptable behavior
    Childhood fear & phobias
    Age appropriate behavior & skills
    N/A- I have no children


  1. How important is this issue to you?
    Very important
    Somewhat important
    Not important


  1. Do you have children/grandchildren in the age range of 0-4 years in your care?
    Yes
    No


  1. Additional Comments: