9to5 Georgia is collecting information to assess the state of childcare in Georgia. This information will be used for research purposes only and will remain confidential. Any homes operating without a license while caring for more than 2 unrelated children for a fee will not be reported.

9to5 Georgia is interested in learning more about parents, foster parents, guardians, etc. who use Family, Friend, and Neighbor (FFN) care for their children and how to support them. FFN care is provided in the home of an unlicensed person who is a relative, friend, or neighbor. A relative or family member can be someone connected to you by blood or marriage. Child care can be provided by the family, friend, or neighbor for pay or for free. If you are currently using FFN care as your child’s primary form of care, please complete the following survey.

Question Title

* 1. How many people live in your home:

Question Title

* 2. For how many of your children do you use Family, Friend, and Neighbor Care as your primary child care arrangement?

Question Title

* 3. What is your relationship to the primary child care provider?

Question Title

* 4. For which reasons did you decide to place your child in care of a family, friend, or neighbor? Select all that apply.

Question Title

* 5. How many hours per week do you utilize child care from a family, friend or neighbor?

Question Title

* 6. Do you have a formal agreement or contract with the primary child care provider about your child’s care?

Question Title

* 7. Have you had a discussion with the child care provider on any of these topics? Select all that apply.

Question Title

* 8. If you pay for your child care services, how much do you pay per drop-in day, week, or month? 

Please choose one based on your pay schedule and fill in the blank with the amount.

Question Title

* 9. If you do not pay for your child care services: 

Question Title

* 10. Do you have a back-up child care provider?

Question Title

* 11. Which of the following challenges have you faced during the COVID-19 pandemic? Select all that apply.

Question Title

* 12. What would you like 9to5 to know about your childcare situation and family or what you need at this time?

Question Title

* 13. What would you like any other organizations or government entities to know about your childcare situation and family or what you need at this time?

Question Title

* 14. Gender

Question Title

* 15. Age

Question Title

* 16. Which of the following best describes your race? Select all that apply.

Question Title

* 17. Primary Language

Question Title

* 18. Level of Education

Question Title

* 19. Are you currently a student?

Question Title

* 20. What is your current employment status?

Question Title

* 21. What is your current household income?

Question Title

* 22. Are you an essential worker?

Question Title

* 23. Do you or any member of your household receive any forms of government assistance:

Question Title

* 24. If you are interested in receiving additional information, support, or resources, please enter your information below:

First Name:

Question Title

* 25. Last Name:

Question Title

* 26. Phone Number:

(By providing my mobile number I consent to receive calls and texts to that number from 9to5 and its affiliated entities concerning news and action opportunities. Message and data rates may apply. You can unsubscribe at any time by texting STOP, reply HELP for info)

Question Title

* 27. Email Address:

Question Title

* 28. Street Address:

Question Title

* 29. City:

Question Title

* 30. State:

Question Title

* 31. Postal Code:

0 of 31 answered
 

T