Parent Survey

Respite Care for North Central Montana

Peace Place provides respite, resources and support to parents of children with special needs. We would like to grow to serve more families in rural areas. This survey is completely confidential – it is for the sole purpose of evaluating what kinds of services Peace Place might be able to offer to families who do NOT live in Cascade County. (Visit www.peaceplacegf.com to find out what we do now.) Feel free to share it with any parents of special needs children in the local North Central Montana area. Questions? Call Kristen McGuire at Peace Place, 406-590-4925, or email kristen@peaceplacegf.com.

Parent Survey

Does your family use respite care already?

What town do you live in?
If you do not live in a town, which town in Montana is closest to your home?
Which forms of respite are most attractive to your family?
Check all that you would use
If Peace Place were to expand the ages of children served, would any of your other children qualify?
Peace Place currently serves only children ages 0 - 12.
Ages 0 to 5
Ages 6 to 11
Ages 12 to 18
This list provides other program options for Peace Place.
Check all you are interested in.
Tell us more about resources in your community that you need.
May we add your email to our newsletter list so you will know when we add services and locations to our Peace Place family.
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