Welcome to OPNFF's survey of social and health services for fathers!

OPNFF is currently conducting our annual survey of social and health services for fathers in the State of Ohio. Our goal is to develop a database of targeted fatherhood programs and family service programs that engage fathers as part of their programming. We will coordinate this information with the Ohio Commission on Fatherhood and Governor Strickland's fatherhood initiatives.

Additionally, The Ohio Benefit Bank has developed a referral module to refer fathers and families who are interested in fatherhood and family service programs around the state. The Ohio Benefit Bank is a web-based software package that helps families and individuals apply for a wide variety of work supports and file their taxes free of charge. Benefits supported include, Food Stamps and other nutrition assistance programs, Medicaid, Child Care, Home Energy Assistance Program and many more. For more information about The Ohio Benefit Bank you may visit www.obb.ohio.gov or call 1-800-648-1176.

Thanks for your help! We will share the results of our survey with you.

You must click the SUBMIT button at the bottom of the survey to send your information to us.

1. What is the name of your fatherhood or family service program?

2. What geographical area does your program serve?
Required Question

3. What target population does your program serve? (check all that apply)
Required Question

	expectant and/or new fathers
	young fathers
	fathers with child support issues
	fathers with custody or other legal issues
	low income fathers
	incarcerated/reentry fathers
	father figures (grandfathers, stepfathers, uncles, male mentors, etc)
	all fathers
	other

4. Where do you provide your services for fathers? (check all that apply)

5. What types of services does your program provide? (check all that apply)
Required Question

6. What fatherhood or parenting curriculum do you use in your program? (check all that apply)

7. Would you accept referrals from other agencies for your services? Required Question

	yes
	no
	other

8. About how many fathers does your program serve in a year?

9. How long has your fatherhood program been operating?

10. What types of funding do you receive to support your program? (check all that apply)

11. Does your agency have sustainable funding for this fatherhood program?

	yes, the program receives funding from a single sustainable source
	yes, the program receives funding from multiple sustainable sources
	no, our program depends on a single temporary grant
	other

12. Who is the contact person for your program?

First Name Required Question

Last Name

Title

Agency Name Required Question

Program Name

Address

City

State

Postal Code Required Question

County

Email Address Required Question

Phone Number Required Question

Fax Number

Website address

13. Do you have any comments or any additional information to share with us?

	State of Ohio
	County
	City/Town/Village
	Multiple Cities or Counties
	Other

	faith based agency
	community based agency
	public agency
	school
	hospital
	state prison or local correctional facility
	church
	other

	male/fatherhood development
	parenting education and/or support
	employment readiness and/or placement
	father and child activities
	information and referral
	legal assistance
	financial education
	health care and/or education
	relationship skills education
	public awareness and/or education
	policy education
	other

	The Nurturing Fathers Program
	24/7 Dads
	InsideOut Dads
	Boot Camp for New Dads
	Doctor Dad
	Fatherhood Development: A Curriculum for Young Fathers
	Teen Dads: Rights, Responsibilities and Joys
	other

	1 - 10
	10 - 25
	25 - 50
	50 - 100
	100 - 250
	250 - 500
	500 - 1000
	over 1000
	don't know
	other

	less than 1 year
	1 to 3 years
	3-5 years
	5-10 years
	over 10 years
	other

	individual contributions
	corporate donations
	united way
	foundation grants
	city, county or state general funds
	local TANF funds
	state TANF funds
	federal TANF funds
	other

The Ohio Practitioners' Network for Fathers and Families (OPNFF) 2009 Survey of Social and Health Services for Fathers

Welcome to OPNFF's survey of social and health services for fathers!