Essential Employee Survey for Childcare Needs

If you have children under the age of 12 years

The City is working with regional partners to assess our ability to provide childcare services for essential staff and first responders. We are requesting that all essential personnel respond to this survey in order to gauge if there is any interest in the City providing this type of service temporarily during the COVID-19 response. If you have any questions, please contact Rupa Venkatesh at rvenkatesh@northglenn.org or (720) 376-8069.

Question Title

* 1. Do you anticipate needing childcare services as a result of COVID-19?

Yes

Question Title

* 2. If yes, what days of the week would you need childcare? Select all that apply.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Does not apply

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* 3. What times during the day would you need childcare?

Question Title

* 4. If group child care is made available to essential personnel, would you make use of that service?

Yes, if it was no cost

Yes, if it was low cost

Yes, if it was market rate

If no, please indicate why:

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* 5. What ages are your children that need care?

Infant (not toilet trained)

Toddler (2 and older, fully toilet trained)

Preschool

School Age (ages 5 and in kindergarten up through age 11)

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* 6. Which of these statements applies to you? This question is important in order to assess the best mechanism for us to utilize based on responses we receive.

I don't have funds available to provide childcare on my own as I usually do not have this need.

I am not comfortable with the option of a group setting for my child/children. I would most benefit from financial assistance to subsidize the additional costs associated with hiring a caregiver to provide individual services to my child/children.

I am comfortable leaving my child in a group setting, and have the funds to do so, but I need help finding a provider

Other:

Essential Employee Survey for Childcare Needs

If you have children under the age of 12 years

Question Title

* 1. Do you anticipate needing childcare services as a result of COVID-19?

Question Title

* 2. If yes, what days of the week would you need childcare? Select all that apply.

Question Title

* 3. What times during the day would you need childcare?

Question Title

* 4. If group child care is made available to essential personnel, would you make use of that service?

Question Title

* 5. What ages are your children that need care?

Question Title

* 6. Which of these statements applies to you? This question is important in order to assess the best mechanism for us to utilize based on responses we receive.

Question Title

* 7. Please leave your name and contact information so we can reach out to you for further information.