Child Care Needs and Preferences
 

Child Care Arrangements

 

1. How old are your children? (Start with your youngest child. If you have more than three children under 14, report their ages in the box below.)

 Child's Age
Child #1
Child #2
Child #3

2. When you and the other adults in your household work or attend school, where are your youngest children?

 CHILD #1 (youngest) Number of hours per weekWould use if available and affordableCHILD #2 Number of hours per weekWould use if available and affordableCHILD #3 Number of hours per weekWould use if available and affordable
IN A CHILD CARE PROGRAM...
...a child care center
...a nursery school
...a HeadStart/PreK program
...a private school (pre-k - 12))
...a public school (pre-k - 12)
IN MY HOME...
...with me
...with my spouse/partner
...with a relative (grandparent, aunt, older sibling, etc.)
...with an unrelated caregiver
...home alone
IN SOMEONE ELSE'S HOME..
...a regulated family day care home (registered family or licensed group)
...my relative
...my neighbor/friend
...other informal provider
...comes to work with me
OTHER

3. What is your primary summer/school vacation arrangement?

 Child #1Child #2Child #3
Type of care:

4. Who provides back-up care when your child care provider is closed or your child is sick?

 Child #1Child #2Child #3
Type of care:

5. Have you and your spouse/partner ever chosen alternating work schedules to minimize your need for paid child care?

6. Please comment on your how your child care choices have been impacted by the economy.

 1 / 3 
 33%