We want to hear from you! Your feedback will help us understand how recent changes — like the enrollment freeze and increased co-payments — are affecting families. This survey should take less than 3 minutes to complete. All responses will remain confidential and will be used to support better child care policies in New Jersey. Please fill out one survey per facility.

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* 1. Provider Information

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* 2. Facility Address: (Please fill out one survey per facility.)

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* 3. County

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* 4. Program Type:

Families Served

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* 5. How many children in your program are currently receiving child care assistance (subsidy)?

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* 6. Are you currently turning families away due to the enrollment freeze?

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* 7. If yes, approximately how many families have you had to turn away?

Financial & Operational Impact

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* 8. Have parent co-payment increases impacted family enrollment or attendance?

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* 9. If yes, how? (Check all that apply)

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* 10. How have these changes (enrollment freeze or co-pay increases) affected your program?

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* 11. Have you experienced any staffing impacts due to these changes (e.g., had to reduce staff hours or positions)?

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* 12. If yes, please explain:

Stay Connected

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* 13. Would you like someone from Advocates for Children of New Jersey (ACNJ) to follow up with you?

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* 14. If yes, please provide:

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* 15. Would you like to receive ACNJ's Enews or action alerts? If so, please provide your email:

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* 16. If yes, please provide your email:

Thank you for taking the time to complete the survey. For more information contact:

Cindy Shields
Senior Policy Analyst | Early Care & Education
35 Halsey Street
Advocates for Children of New Jersey
www.acnj.org
Newark, NJ 07102
973-643-3876, ext. 216
Cell: 201-446-3092
Click here to schedule a meeting with me.

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