* 1. What is your gender?

* 2. How many children do you have?

* 3. What is your marital status?

* 4. Are you currently employed?

* 5. What is your income level/range

* 6. Are you currently or have you received federal government assistance programs such as TANF, Food Stamps, Daycare assistance, or health insurance, if so please click all that apply

* 7. Have you used any paid child care services for your child or children such as childcare centers or home daycare?

* 8. If you identify as a single parent, what do you find to be the most challenging about being a single parent? Please click all that apply.

* 9. What are some of assumptions or stereotypes associated with being a single parent?

* 10. As a single parent, what type of services would like to see become available to you and your family?

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