1. Child Care Resource and Referral Survey
1
. Enter the name of the staff person who worked with you (optional):
Enter the name of the staff person who worked with you (optional):
*
2
. How did you contact Child Care Resource and Referral? (Select One)
How did you contact Child Care Resource and Referral? (Select One)
Phone
Email/Web
In Person/Walk In
*
3
. If I left a phone message, it was returned the next business day.
If I left a phone message, it was returned the next business day.
Strongly Agree
Agree
Disagree
Strongly Disagree
Does Not Apply
Comments (optional):
*
4
. The staff was professional.
The staff was professional.
Strongly Agree
Agree
Disagree
Strongly Disagree
Does Not Apply
Comments (optional):
*
5
. The early child care options and services were clearly explained, (i.e., centers, family child care homes, subcontracted care, Quality Counts providers, VPK programs, licensed care, relative care, faith-based care, etc.)
The early child care options and services were clearly explained, (i.e., centers, family child care homes, subcontracted care, Quality Counts providers, VPK programs, licensed care, relative care, faith-based care, etc.)
Strongly Agree
Agree
Disagree
Strongly Disagree
Does Not Apply
Comments (Optional):
*
6
. The child care education materials provided valuable information.
The child care education materials provided valuable information.
Strongly Agree
Agree
Disagree
Strongly Disagree
Does Not Apply
Comments (Optional):
*
7
. The Child Care Provider listing was helpful.
The Child Care Provider listing was helpful.
Strongly Agree
Agree
Disagree
Strongly Disagree
Does Not Apply
Comments (Optional):
*
8
. Overall, I am satisfied with the Child Care Resource and Referral services I received.
Overall, I am satisfied with the Child Care Resource and Referral services I received.
Strongly Agree
Agree
Disagree
Strongly Disagree
Does Not Apply
Comments (Optional):
*
9
. I would use Child Care Resource and Referral Service again.
I would use Child Care Resource and Referral Service again.
Strongly Agree
Agree
Disagree
Strongly Disagree
Does Not Apply
Comments (Optional):
10
. The most important factor in choosing a child care provider was:
The most important factor in choosing a child care provider was:
Openings
Location
Limited Time to Select Care
Finding Quality Programs
Compatible Hours
Affordabiltiy
Other (please specify)
11
. The most difficult factor in choosing a child care provider was:
The most difficult factor in choosing a child care provider was:
Openings
Location
Limited Time to Select Care
Finding Quality Program
Compatible Hours
Affordability
Other (please specify)
12
. If you did not find child care in the zip code(s) that you needed, please list the zip code(s).
If you did not find child care in the zip code(s) that you needed, please list the zip code(s).
13
. What can we do to improve the service or what other educational topics and materials would have been helpful to you?
What can we do to improve the service or what other educational topics and materials would have been helpful to you?
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