1. Did anyone from the Born To Read program visit you when you delivered your baby in Beaufort Memorial Hospital or Hilton Head Hospital?   Yes No

2. Did you use any of the materials you received?   Yes No

3. How often do you read to your child?

4. How valuable was Born To Read in encouraging you to read with your child? ( 1-no value to 5-significant value)

5. Child’s date of birth:   

Mother’s Name:

E-mail:   

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