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1. How long have you been contracted with Child Development Dayhomes? (Required.)

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2. What type of support do you appreciate from your consultant? (i.e. support with programming, environment, etc.)  (Required.)

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3. What type of support do you appreciate from your admin person? (i.e. account/fee related questions, etc.) (Required.)

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4. Are there other forms of support you appreciate from the agency? (i.e. information in the newsletter, types of workshops offered, etc.) (Required.)

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5. Are there any specific supports you feel you would like from your consultant/agency? (Required.)

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6. Do you feel comfortable approaching the agency with concerns and/or to seek support? (Required.)

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7. How do you model a positive attitude towards yourself and others? (being respectful, professional, using a calm tone, etc) (Required.)

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8. In order for families to choose family dayhomes as a viable childcare choice, they need to access back-up care when their dayhome is closed. Do you provide back-up care? (Required.)

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9. What area are you located in? (Required.)

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10. Your consultant's name:

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11. Your admin person's name:

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12. Your name (optional):

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