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Home
About Us
-Board of Directors
-Contact Us
-Downloads
-Links
-Newsroom
-Sponsors
-Staff
Ways to Help
-Funding
-Holiday Gift Drive
-Volunteer
-Wish Lists
Center for Grieving Children
-Our Families’ Stories
-Grief Support
-Young Adult Grief Support
-Dr. Alan J. Saffran Scholarship
-Pre-Registration Form
Wishes for Kids
-Wish Application
-Wish Stories
Events
Garden of Hope
-About
-Site Plan
-Sponsor an Item
Child Evaluation Survey
I have participated at New Hope for Kids for:
1-3 months
3-6 months
6-9 months
9-12 months
12 or more months
Do you come on a regular basis?
Yes
No
How did you feel after the death, prior to attending New Hope for Kids?
Since coming to New Hope for Kids, I feel:
Much better
A little better
The same
A little worse
Much worse
Before coming to New Hope for Kids, communication at home after the death was:
Excellent
Good
Fair
Poor
Since coming to New Hope for Kids, communication is:
Much better
A little better
The same
A little worse
Much worse
Working together in a group is:
very helpful
helpful
not helpful
The activities are:
very helpful
helpful
not helpful
The group facilitators are:
very helpful
helpful
not helpful
I have learned some new ways to help me with my feelings:
Yes
No
What helps me the most?
What has been least helpful?
What are you able to do at home to work on your grief since coming to New Hope for Kids?
I think I will have finished my work and be ready to leave New Hope for Kids in:
1-2 visits
3-4 visits
5-6 visits
7-8 visits
9+ visits
Additional Comments (GOALS):