LYFE Survey

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1. Please share some basic information about yourself. THIS INFORMATION WILL NEVER BE SHARED WITH ANYONE ELSE.

Please share some basic information about yourself. THIS INFORMATION WILL NEVER BE SHARED WITH ANYONE ELSE. Zip code
Age:
Grade:
Number of children:

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2. Please tell us your Borough:

Please tell us your Borough: Bronx

Brooklyn

Manhattan

Queens

Staten Island

3. If you are NOT currently enrolled in school, what is the reason?

If you are NOT currently enrolled in school, what is the reason? Lack of child care

I missed too many days of school because of my pregnancy

My principal told me not to come back

Other

4. If you ARE enrolled in school, are you enrolled in the same school that you attended before you became pregnant?

If you ARE enrolled in school, are you enrolled in the same school that you attended before you became pregnant? Yes

5. If you ARE enrolled in school:

	0	1	2	3	4	5	6	7	8	9
How many SCHOOLS have you enrolled in since getting pregnant?	*If you ARE enrolled in school: How many SCHOOLS have you enrolled in since getting pregnant? 0	How many SCHOOLS have you enrolled in since getting pregnant? 1	How many SCHOOLS have you enrolled in since getting pregnant? 2	How many SCHOOLS have you enrolled in since getting pregnant? 3	How many SCHOOLS have you enrolled in since getting pregnant? 4	How many SCHOOLS have you enrolled in since getting pregnant? 5	How many SCHOOLS have you enrolled in since getting pregnant? 6	How many SCHOOLS have you enrolled in since getting pregnant? 7	How many SCHOOLS have you enrolled in since getting pregnant? 8	How many SCHOOLS have you enrolled in since getting pregnant? 9
How many WEEKS of school have you missed since getting pregnant?	How many WEEKS of school have you missed since getting pregnant? 0	How many WEEKS of school have you missed since getting pregnant? 1	How many WEEKS of school have you missed since getting pregnant? 2	How many WEEKS of school have you missed since getting pregnant? 3	How many WEEKS of school have you missed since getting pregnant? 4	How many WEEKS of school have you missed since getting pregnant? 5	How many WEEKS of school have you missed since getting pregnant? 6	How many WEEKS of school have you missed since getting pregnant? 7	How many WEEKS of school have you missed since getting pregnant? 8	How many WEEKS of school have you missed since getting pregnant? 9

6. Have you been told any of the following by a teacher or principal at your school:

Have you been told any of the following by a teacher or principal at your school: You cannot continue to attend the same school once pregnant or parenting

You cannot use a LYFE center in another school

You have to child support from your baby's father in order to get childcare

You have to go to a "p-school"

7. In a perfect world, what kind of child care would you want for your children? Please choose only 1:

In a perfect world, what kind of child care would you want for your children? Please choose only 1: LYFE Center

Day Care Center

Head Start

Family Member

Friend of neighbor

Other (please specify)

8. If you HAVE child care for your children, what TYPE of child care do you use?

If you HAVE child care for your children, what TYPE of child care do you use? LYFE Center

Day Care Center

Head Start

Family member

Friend or neighbor

Other (please specify)

9. If you HAVE heard of a LYFE Center, please check which of the following is TRUE:

If you HAVE heard of a LYFE Center, please check which of the following is TRUE: I heard about LYFE Centers from my teacher

I heard about LYFE Centers from my Principal

I heard about LYFE Centers from my Assistant Principle

I heard about LYFE Centers from a friend

I heard about LYFE Centers from the Department of Education website

I have applied to a LYFE Center and was accepted

I am using a LYFE Center for child care for my children

I have applied to a LYFE Center and was denied

If denied from a LYFE Center, please provide the reason(s):

10. If you ARE using a LYFE Center, please rate your experience from 1 (worst) to 5 (best):

	1	2	3	4	5
Staff	*If you ARE using a LYFE Center, please rate your experience from 1 (worst) to 5 (best): Staff 1	Staff 2	Staff 3	Staff 4	Staff 5
Cleanliness	Cleanliness 1	Cleanliness 2	Cleanliness 3	Cleanliness 4	Cleanliness 5
Enough toys and books	Enough toys and books 1	Enough toys and books 2	Enough toys and books 3	Enough toys and books 4	Enough toys and books 5
Address specific dietary needs	Address specific dietary needs 1	Address specific dietary needs 2	Address specific dietary needs 3	Address specific dietary needs 4	Address specific dietary needs 5
Parent Resources	Parent Resources 1	Parent Resources 2	Parent Resources 3	Parent Resources 4	Parent Resources 5
Good Relationship with social worker	Good Relationship with social worker 1	Good Relationship with social worker 2	Good Relationship with social worker 3	Good Relationship with social worker 4	Good Relationship with social worker 5

If you are NOT using a LYFE Center, please tell us why:

LYFE Survey
Exit this survey

1. Default Section

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1. Please share some basic information about yourself. THIS INFORMATION WILL NEVER BE SHARED WITH ANYONE ELSE.

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2. Please tell us your Borough:

3. If you are NOT currently enrolled in school, what is the reason?

4. If you ARE enrolled in school, are you enrolled in the same school that you attended before you became pregnant?

5. If you ARE enrolled in school:

6. Have you been told any of the following by a teacher or principal at your school:

7. In a perfect world, what kind of child care would you want for your children? Please choose only 1:

8. If you HAVE child care for your children, what TYPE of child care do you use?

9. If you HAVE heard of a LYFE Center, please check which of the following is TRUE:

10. If you ARE using a LYFE Center, please rate your experience from 1 (worst) to 5 (best):

LYFE SurveyExit this survey

1. Default Section

*1. Please share some basic information about yourself. THIS INFORMATION WILL NEVER BE SHARED WITH ANYONE ELSE.

*2. Please tell us your Borough:

3. If you are NOT currently enrolled in school, what is the reason?

4. If you ARE enrolled in school, are you enrolled in the same school that you attended before you became pregnant?

5. If you ARE enrolled in school:

6. Have you been told any of the following by a teacher or principal at your school:

7. In a perfect world, what kind of child care would you want for your children? Please choose only 1:

8. If you HAVE child care for your children, what TYPE of child care do you use?

9. If you HAVE heard of a LYFE Center, please check which of the following is TRUE:

10. If you ARE using a LYFE Center, please rate your experience from 1 (worst) to 5 (best):

LYFE Survey
Exit this survey

*
1. Please share some basic information about yourself. THIS INFORMATION WILL NEVER BE SHARED WITH ANYONE ELSE.

*
2. Please tell us your Borough: