2# CH-UH Pre-Kindergarten Community Needs Assessment Question Title * 1. To which of the following age groups do you currently belong? Under 18 18-24 24-34 35-44 45-54 55-65 65+ Prefer not to answer Question Title * 2. Which of the following do you consider to be your primary race? White/Caucasian Black/African American Asian Pacific Islander Hispanic/Latino Latin American Native American/Alaskan Native Other Prefer not to answer Question Title * 3. Counting income from all sources for everyone living in your household, which category below represents your annual household income for 2015 before taxes (gross income)? Less than $10,000 $10,000-$14,000 $15,000-$24,999 $25,000-$34,000 $35,000-$49,999 $50,000-$74,999 $75,000-$99,999 $100,000-$149,999 $150,000-$199,999 $200,000 + Prefer not to answer Question Title * 4. What elementary school is considered your child's "Home School?" Boulevard Elementary School Canterbury Elementary School Fairfax Elementary School Gearity Professional Development School Noble Elementary School Oxford Elementary School Roxboro Elementary School Not Sure Question Title * 5. Of your children, how many are: 1 2 3 4 5+ Pre-K Age (3-5) Pre-K Age (3-5) 1 Pre-K Age (3-5) 2 Pre-K Age (3-5) 3 Pre-K Age (3-5) 4 Pre-K Age (3-5) 5+ Grades K-1 Grades K-1 1 Grades K-1 2 Grades K-1 3 Grades K-1 4 Grades K-1 5+ Grades 2-3 Grades 2-3 1 Grades 2-3 2 Grades 2-3 3 Grades 2-3 4 Grades 2-3 5+ Grades 4-5 Grades 4-5 1 Grades 4-5 2 Grades 4-5 3 Grades 4-5 4 Grades 4-5 5+ Gardes 6-8 Gardes 6-8 1 Gardes 6-8 2 Gardes 6-8 3 Gardes 6-8 4 Gardes 6-8 5+ Grades 9-12 Grades 9-12 1 Grades 9-12 2 Grades 9-12 3 Grades 9-12 4 Grades 9-12 5+ Question Title * 6. Were you aware that the school district offers Early Childhood Programs for Preschool and Pre-Kindergarten? Yes No Question Title * 7. If you were aware of the district's Preschool/Pre-Kindergarten program, how many of your children have attended? 0 1 2 3 4+ N/A Question Title * 8. If your child attended the district's Preschool/Pre-Kindergarten program, did they attend the Full Day Program or the 1/2 Day Program? Full Day 1/2 Day N/A Question Title * 9. Did your child attend the Preschool/Pre-Kindergarten program as a child with an IEP? Yes No I have had multiple children enrolled. Some have attended with an IEP and others without N/A Question Title * 10. If you were not aware of the school district's Preschool/Pre-Kindergarten programming, would you have enrolled your child if you had known that they existed? How many of your children would you have sent to the program? 1 2 3 4 N/A Yes Yes 1 Yes 2 Yes 3 Yes 4 Yes N/A No No 1 No 2 No 3 No 4 No N/A N/A N/A 1 N/A 2 N/A 3 N/A 4 N/A N/A Question Title * 11. Does your child(ren) attend a community program (not district programming) for ages 3-5? Yes No N/A What community program does your child attend? Question Title * 12. How many of your children will be age 4 by September 30, 2017? 0 1 2 3 Question Title * 13. How many of your children will be age 3 by September 30, 2017? 0 1 2 3 Question Title * 14. Would you be interested in enrolling your child in our Full-Day or Half-Day Pre-Kindergarten program? Full-Day Half-Day Both N/A Question Title * 15. If you answered no to the previous question, will your child(ren) attend a different Preschool, Pre-Kindergarten or Daycare Program? Yes No N/A Please list where your child(ren) will attend? Question Title * 16. Would you be interested in Before & After school extended care? Before school extended care After school extended care Both Before & After school extended care No, I would not need extended care N/A Question Title * 17. Transportation: I would need district transportation for my child to attend the district's Preschool/Pre-Kindergarten programming. I would be able to transport my own child(ren) to and from school N/A Question Title * 18. How far would you be willing to travel for district Preschool/Pre-Kindergarten programming? up to 1 mile 1-2 miles 2-3 miles 3-5 miles 5-8 miles Anywhere in the district I would need transportation regardless of distance Page1 / 1 100% of survey complete. Done