Child Care Referral Survey
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1
. For tracking purposes your zip code is required.
For tracking purposes your zip code is required.
ZIP:
*
2
. Have you ever been absent from work due to child care problems?
Have you ever been absent from work due to child care problems?
Yes
No
*
3
. What concerns you the most when looking for child care?
What concerns you the most when looking for child care?
Location
Availablitiy for hours/days
Quality
Cost
Number of childlren in care
*
4
. What type of child care program did you choose?
What type of child care program did you choose?
Licensed Child Care Center
Friends and Family
Licensed Group Family Day Care
Universal Pre-K
Registered Family Day Care
*
5
. Do you worry about your child while he/she is in child care?
Do you worry about your child while he/she is in child care?
Yes
No
*
6
. Are you aware of these services of Family's Child Care Council?
Are you aware of these services of Family's Child Care Council?
Free referrals to child care services
information on child development
information on help to pay for child care
training for child care providers
information on child care public policy
respond to complaints/concerns about child care providers
assist child care providers in becoming regulated
assist businesses with their child care needs and questions
sponsor the Child and Adult Care Food Program
all of the above
none of the above
7
. Please share any additional comments
Please share any additional comments
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