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Child care services needs assessment

1.What community do you work in?
2.Which best describes your current employment? 
e.g. Education, Finance and Economics, Mining, Manufacturing.
3.1.     What is your current employment status?
4.1.     What best describes your work schedule?
5.What age and number of children would you require childcare? Please indicate the number of children in each age group.
6.Number of infant toddlers
7.Number of 3-5 year olds
8.Number of school age
9.How likely are you to require childcare at the following times:
10.1.     In the next 12 months, on what basis would you most commonly require childcare? Please select all that apply.
11.If given the choice, what type of childcare would you prefer? (select all that apply)
12.What best describes your back-up childcare plan? (Eg. Childcare cancels, your child feels unwell but isn’t ‘sick’)
13.What employment benefits do you feel childcare services would provide to you? Please select all that apply.
14.What items are most important to you in a childcare service? Please select all that apply.
15.Do you have a management position? If yes, move to #13.
16.Would you be interested in attending a community round table regarding child care needs in Prince Rupert?
17.If you responded YES to the above question, please provide your contact information below.
18.Please let us know if you have any additional comments or concerns regarding childcare services.