Please complete this survey and we will send you a free parenting tape, "The Three Nevers"
Which program website did you visit and are you rating here?
Did you have any difficulty finding our web sites?
How did you find our web site? Please specify by choosing one:
If you chose "parenting web site" or "other site", please give us the name of the site:
If you found us via a search engine, what words did you use to search for our site?
Please indicate your gender: Male Female
Did you navigate to any of the specific program sites from the AEG website? Check all that apply:
Aspen Achievement Academy Aspen Ranch North Star
Mount Bachelor Academy Sun Hawk Pine Ridge
Stone Mountain Swift River SUWS Youth
Turn About Ranch YouthCare SUWS of the Carolinas
Excel Academy Passages to Recovery SUWS Adolescent
Lone Star Expeditions Copper Canyon Adirondack Leadership Academy
Do you participate in any web communities?
Which Web communities do you regularly participate in (select all that apply):
ByParentsForParents.com OnHealth.com
iVillage.com Oprah.com
Women.com DrLaura.com
Oxygen.com WebMD.com
Family.com DrPhil.com
None of these communities
If you regularly participate in other web communities, please give the names here:
How easy was it to navigate through our site and find the information you wanted? (choose one)
In terms of the information given on the site, how useful did you find it in addressing the issues that you were researching when you came to our site:
Approximately, how much time do you spend on the Internet for personal information on a weekly basis?
0-1 hour 1-2 hours 2-5 hours 5-10 hours 10+ hours
Is your personal time on the Internet related to (check all that apply):
E-mail Family and Parenting Recreation
Homework for a child Self-help Women's issues
Health Travel Men's issues
Do you regularly receive any e-mail newsletters (e-zines)? Yes No
If yes, is the newsletter related to (check all that apply):
Business and Career Health Recreation
Financial Family and Parenting Women's issues
Self-Improvement Travel Men's issues
Have you purchased self-help material online Yes No
Would you be willing to pay for online courses designed to help you improve family relationships? Yes No
If yes would you prefer: $15-$30 per course charge $100 annual fee for unlimited access to entire course catalog
Do you plan to enroll your child in some kind of program (not necessarily ours)?
If Yes, What kind of program: (please choose all that apply)
After School Program Substance Abuse Program Residential Treaty
Boarding School Tutoring Services Sports Type Program
Military School Wilderness Program Faith Based Program
Outpatient Therapy Summer Camps Not Sure
Private Day School Boot Camps Other
If you indicated other, please describe:
Do you plan to contact Aspen Education Group?


If yes, would you like someone from Aspen to contact you to discuss our programs?


When you have a difficult problem with your teen, where do you traditionally turn for help first? (e.g., school counselor, online help/discussions, clergy, therapist, support group):
What other solutions/programs are you considering?
Please tell us your household income (optional):
Would you like to receive our free monthly e-mail newsletter, "Parenting and Family Relationship Tips?"
Would you like to receive additional parenting information from our partner FamilyIQ?
Email Format HTML    Text    AOL   
Please indicate the address to which the free tape "The Three Nevers" should be sent:
Name:
Address:
City:
State:
Zip Code:
Country
(if outside US):
E-mail Address:
Thank you for filling out our survey. When finished, please press the Submit Survey button to submit it. Upon receiving your completed survey we will mail you your free tape, "The Three Nevers."
Please press the submit button only once, it may take a few seconds to process. Once your survey has been submitted a message will be displayed.