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Online Referral (ORM) Pilot Survey
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1.
If you have used an online child care search before, please compare this experience with your previous experience, using the scale below:
(Required.)
Excellent
Above Average
Average
Below Average
Extremely Poor
How does this search compare to other searches you have used?
Excellent
Above Average
Average
Below Average
Extremely Poor
2.
Please describe any problems or errors you had while using this online child care search?
3.
What did you like about this online child care search tool?
4.
What didn't you like about this online child care search tool?
5.
What would you change, or add, for improving this online child care search tool?
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6.
Would you recommend this online child care search tool to others?
(Required.)
Yes
No
7.
What is your email address?
8.
Select the range that best describes your age.
Under 18 Years of Age
18-24 Years of Age
25-29 Years of Age
30-39 Years of Age
40-49 Years of Age
50 and Over Years of Age
Refuse to Share
9.
What is your last level of completed education?
1st-11th grade
GED
High School Graduate
Non College Post High School (e.g. Tech School)
Some College
Associate's Degree
Bachelor's Degree
Master’s Degree
PhD
Refuse to Share
10.
Select the county where you live.
Johnson County
Hamilton County
Hendricks County
Marion County
Other - Please specify below
Please enter 'Other' county.
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11.
Select the option that best describes yourself:
(Required.)
I am a parent
I am a child care provider
I am a CCR&R staff member
I am a business person / community member
Other