2010 Child, Youth & School Services Parent Survey

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1. Please indicate the sponsor's affiliation:

Please indicate the sponsor's affiliation:   Army Air Force Navy Marines DoD Civilian Contractor Retired

2. Sponsor Rank/Grade

Sponsor Rank/Grade

3. Enrollment Category:

Enrollment Category:   civilian/Non-working Spouse Civilian/Working Spouse Dual Military Dual Working Civilian

Military/Non-working Spouse Military/Working Spouse Single Civilian Parent Single Military Parent

4. Please indicate the number of children you have enrolled in CYS Services:

Please indicate the number of children you have enrolled in CYS Services:

5. Frequency of Use:

Frequency of Use:   Daily 2-3 times per week Once a month Special Occasions/Events

6. Length of enrollment in Kaiserslautern CYS Services Programs:

Length of enrollment in Kaiserslautern CYS Services Programs:   Less than 1 year 1-2 years 3-4 years 4 years +

7. My family uses the following Child, Youith & School Services (check all that apply):

My family uses the following Child, Youith & School Services (check all that apply):   EDGE Full-day care HIRED Hourly Care CDC Hourly Care SAS Middle School Teen Program

Month of the Military Child Parent Night/Day Out Part-day preschool Playgroup Reintegration/Deployment Care School Age Services (SAS)

School Liaison Services SkiesUnlimited Instructional Programs Special Openings Strong Beginnings Teen Shuttle Youth Sports & Fitness

8. Do you use Parent Night/Day Out?

Do you use Parent Night/Day Out?   Yes No Please send me more information about this

9. Please fill in your contact information.

Please fill in your contact information.   Name:
Address:
City/Town:
ZIP/Postal Code:
Email Address:
Phone Number: