Please fill out the survey below regarding your child care needs.

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* 1. Name:

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* 2. Email:

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* 3. Information for child/children for whom child care is being sought:

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* 4. How many days per week do you expect to use the Early Learning Center?

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* 5. Which schedule best fits your child care needs?

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* 6. In choosing a child care center, please indicate the priority you give to each item:

  Very Important Moderately Important Not as Important
Hours
Educational Programs
Parent Involvement
Jewish Program
Reputation
Fees
Trips
Credentials of Staff
Outdoor Playground
Supervision & Training for Staff
Parent/Teacher Meetings
Child Care Accredidation
Thank you!

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