1. Introduction

Thank you for taking time to complete this survey. Your input will assist the Child Care Planning Council of Yuba & Sutter Counties in getting a better picture of families' needs for early education and care in their community. All answers will be kept confidential. Please complete only one survey per family.
Please Note: The term "early education and care" is meant to include all types of care for your children, including: family child care, center-based care, Head Start, preschool, nursery school, public school, kindergarten, school-age care, babysitters, relative care, nannies and parental care.

* 1. Please indicate your Town of Residence

* 2. Please indicate your Zip Code

* 3. What describes your family? Please check all that apply.

* 4. Please indicate the ages (in years) of the children who live with you.

* 5. What language(s) are spoken in your home? (Please check all that apply.)

* 6. What types of care do you currently have for your children? (Please answer for only your youngest four children)

  Child #1 Child #2 Child #3 Child #4
Parent/Guardian at home with child(ren)
Family member, grandparent, neighbor or friend in your home
Family child care/Home-based care in the caregivers' home
Private Child Care Center/Preschool
Head Start/Early Head Start
State Preschool/Children's Center (Operated by School District)
After-school program

* 7. Do you have a child with a disability?

* 8. If you have a child with a disability, have you had difficulty finding care for your child?

* 9. In the past 12 months, what were your three biggest problems in finding or using child care/preschool? (Please check all that apply)

* 10. About how much do you spend on child care each week?

* 11. Are you getting help paying for your child care?

* 12. If you are getting help to pay for your child care, what type of help are you getting?

* 13. How many times during the past 12 months did your child care arrangements change?

* 14. Please provide us with any other comments you have on this subject of the need for child care.

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