WECAN PARENT & FAMILY CONVERSATIONS Question Title * 1. Organizer Alexa Emelyn Lucia Question Title * 2. Campaign Leaguers Parent/Family North Ward Parent/Family In Home Parent/Family La Casa Parent/Family UVSO Parent/Family Other (please specify) Question Title * 3. Parent/Family Contact Information First Name Last Name Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code County Email Address Phone Number Question Title * 4. Preferred Language English Spanish Other (please specify) Question Title * 5. What has it been like to find childcare? Impossible Very Difficult Required Work Not Very Difficult Easy Impossible Very Difficult Required Work Not Very Difficult Easy Elaborate on the parent/family experience looking for childcare. Question Title * 6. Have you applied for a childcare subsidy? Yes No Describe the parent/family experience, including whether or not they qualified for the subsidy and the amount (if known). Question Title * 7. How do you drop off and pick up your children? Parent/Guardian drives Parent/Guardian takes public transit Family, friend, or neighbor drives Family, friend, or neighbor takes public transit Other (please specify in the comment box below) Please elaborate on the parent/family experience dropping off and picking up child(ren) from childcare, including drop off and pick up times. Question Title * 8. Is there more support that you want for your kids? More support for special needs and mental health more wrap around services more affordable wrap around services affordability of childcare greater access to subsidies larger subsidies better locations/easier to access quality of care supports for parents/guardians other (please elaborate below) Please elaborate on any of the above selections. SUBMIT
