Exit Mat-Su YMCA Before/After School Program Question Title * 1. What is your home residence area? Question Title * 2. What school does your child attend? Question Title * 3. How many children do you have between the ages of 5-12? 1 2 3 4 5 6 7 8 9 10 Other (please specify) Question Title * 4. What type of child care do you currently use? Care by parent Care by relative Care by non-relative Child cares for self Childcare center Combination of care Currently searching for care School-based program Other (please specify) Question Title * 5. What days of the week do you need childcare? Please check all that apply Monday-Friday Snow days, holidays, summer break School delayed openings School cancellation days Part time Monday-Friday Other (please specify) Question Title * 6. What times of the day do you need childcare? Please check all that apply Before school only After school only Before and after school Question Title * 7. If the Mat-Su YMCA offered a before/after school care program at your child’s school would you use it? Yes No Question Title * 8. Have you encountered any of these childcare related challenges during the past year? Cost of childcare Finding childcare Location of childcare Quality of care Scheduling childcare to match work schedule Other (please specify) Done