paper administration
Per KY DBH, online surveys have been disabled.
Please use paper forms.
KY-Moms PRE-Survey (pdf download)
KY-Moms POST-Survey (pdf download)
KY-Moms PRE-Survey, Spanish (pdf download)
KY-Moms POST-Survey, Spanish (pdf download)
KY-Moms Support Person PRE-Survey (pdf download)
KY-Moms Support Person POST-Survey (pdf download)
KY-Moms Classroom Administration Form (pdf download)
If you have any questions regarding the KY-Moms Program, please contact Katie Stratton with the Kentucky Department
for Behavioral Health: Katie.Stratton@ky.gov.
Thanks so much for helping us implement the KY Moms program!