* 1. How did you hear about our services?

* 2. Did you have child care arrangement prior to using our services?

* 3. Using the scale below, please rate the following:

  Not Helpful Somewhat Helpful Very Helpful
Consultation helpfulness
Reference helpfulness
Information accuracy
Overall service

* 4. Would you recommend our services to a friend?

* 5. Did you find child care through our services?

* 6. What type of child care are you using?

* 7. How would you rate the child care program/arrangements you are using?

* 8. Are there any challenges associated with your child care arrangements?

* 9. What was your overall impression of our services?

* 10. Please provide us with any suggestions or comments you feel might help us serve you better in the future.