Please complete by October 5, 2015

This survey consists of 7 questions about programs, services, and supports for families with children birth - 12 years old.  It should take no longer than 10 minutes to complete.   Survey results will be used by members of the Alberni Children First Network to inform planning for a proposed Early Years Centre in Ecole EJ Dunn Elementary School. 

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1. Do you have children ages birth-12 years old?

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2. What are the ages of your children?

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3. What is your postal code?

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4. Please indicate which of these programs, services, and supports you access.

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5. Please indicate which of these programs, services, and support you would like to access more.

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6. Please choose the times that are best for your family to access programs, services, and supports. (Choose all that apply).

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7. An Early Years Centre would offer health, well-being, and family development services in a culturally-safe atmosphere with many community agencies collaborating.  Please rate how interested you are in each of these opportunities in a proposed Early Years Centre at Ecole EJ Dunn Elementary.  (1=not interested at all, 5=incredibly interested).

  not interested at all possibly interested interested slightly interested incredibly interested
After-school activities and sports
Celebrations (e.g. BBQ's, family dinners, feasts)
Child-minding
Cultural opportunities (Aboriginal language learning, traditional foods, etc.)
Family Events (e.g. movie nights, special evenings)
Food and food security (Community kitchen, learn to garden, etc.)
Gymnastics
Indoor/rainy day play opportunities
Natural/outdoor play and recreation opportunities
Opportunity to meet with services providers (e.g. speech and language, dental, nutrition)
Parenting supports (parenting programs, information sessions, etc.)
Play-based learning (e.g. StrongStart, etc.)
Physical Literacy (e.g. Gym time)
Programs specific to children with extra needs
School Grandmas (Linking caring adults with families)
Sensory Programs and Art Fun (e.g. Learn how to make goop, puffy paint, silly putty, slime)
Skill-building programs for families (e.g. cooking, early literacy, safety, etc.)
Source of childcare information
Transition to school programs (e.g. Welcome to Kindergarten, StrongStart)
Visitation in a safe, play-based space

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8. If you would like to be entered to win a Capitol Theatre $80 Gift Certificate, a $50 Artemis Books Gift Certificate or a $50 Landmark Cinemas Gift Certificate, please fill in your contact information below.  Winners will be notified by the end of October.

Thank you for your input.  It is greatly appreciated.
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100% of survey complete.

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