DPS-EPSC_Families
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1.
1
. Do you need childcare during the EPSC/DPS 2011 meeting?
Do you need childcare during the EPSC/DPS 2011 meeting?
Yes
No
2
. What stage of your career are you in?
What stage of your career are you in?
Undergraduate Student
Graduate Student
Post-doc
Faculty Member
Researcher
Industry Professional
Media Reporter
Other (please specify)
3
. If you need childcare during a DPS, specify ages and anticipated hours/day of required care as a daily average over the meeting week:
Age
Daily Care Requirement
1st child
0-12 months
1-2 years
2-3 years
3-4 years
4-5 years
5-6 years
6-8 years
8-10 years
> 10 years
If you need childcare during a DPS, specify ages and anticipated hours/day of required care as a daily average over the meeting week: 1st child Age
0-2 hours
2-4 hours
4-6 hours
6-8 hours
Daily Care Requirement
2nd child
0-12 months
1-2 years
2-3 years
3-4 years
4-5 years
5-6 years
6-8 years
8-10 years
> 10 years
2nd child Age
0-2 hours
2-4 hours
4-6 hours
6-8 hours
Daily Care Requirement
3rd child
0-12 months
1-2 years
2-3 years
3-4 years
4-5 years
5-6 years
6-8 years
8-10 years
> 10 years
3rd child Age
0-2 hours
2-4 hours
4-6 hours
6-8 hours
Daily Care Requirement
4th child
0-12 months
1-2 years
2-3 years
3-4 years
4-5 years
5-6 years
6-8 years
8-10 years
> 10 years
4th child Age
0-2 hours
2-4 hours
4-6 hours
6-8 hours
Daily Care Requirement
5th child
0-12 months
1-2 years
2-3 years
3-4 years
4-5 years
5-6 years
6-8 years
8-10 years
> 10 years
5th child Age
0-2 hours
2-4 hours
4-6 hours
6-8 hours
Daily Care Requirement
4
. If child care costs are hindering you now (or have hindered you in the past) from attending meetings, what level of support would be needed? (Check all that apply)
$0
$0-$250
$250-$500
>$500
Assist with cost of backup care at home for child(ren)
*
If child care costs are hindering you now (or have hindered you in the past) from attending meetings, what level of support would be needed? (Check all that apply) Assist with cost of backup care at home for child(ren) $0
Assist with cost of backup care at home for child(ren) $0-$250
Assist with cost of backup care at home for child(ren) $250-$500
Assist with cost of backup care at home for child(ren) >$500
Assist with cost of airfare for child(ren)
Assist with cost of airfare for child(ren) $0
Assist with cost of airfare for child(ren) $0-$250
Assist with cost of airfare for child(ren) $250-$500
Assist with cost of airfare for child(ren) >$500
Assist with cost of airfare for caregiver
Assist with cost of airfare for caregiver $0
Assist with cost of airfare for caregiver $0-$250
Assist with cost of airfare for caregiver $250-$500
Assist with cost of airfare for caregiver >$500
Assist with daycare costs at the meeting
Assist with daycare costs at the meeting $0
Assist with daycare costs at the meeting $0-$250
Assist with daycare costs at the meeting $250-$500
Assist with daycare costs at the meeting >$500
Other (please specify)
5
. When would providing family-friendly options (day care, lactation rooms, etc.) at DPS meetings be most beneficial to you?
When would providing family-friendly options (day care, lactation rooms, etc.) at DPS meetings be most beneficial to you?
never
in the distant past (>5 years ago)
in the near past (~5 years ago)
right now
in the near future (~5 years from now)
in the far future (>5 years from now)
6
. Comments:
Comments:
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