2-Minute Anonymous Child Care Cost Survey

1.Anonymous Survey

Survey for 1 child. If completing for multiple children, please fill out 1 survey per 1 child
1.What is your child's age?(Required.)
2.In what ZIP code is your child care located? (enter 5-digit ZIP code; for example, 00544 or 94305)(Required.)
3.What is the business name of the child care service that your child attends?(Required.)
4.What frequency of childcare is your child enrolled in?(Required.)
5.At what frequency are you billed for childcare?(Required.)
6.What amount does your child care provider bill you for 'tuition' only? (per billing period you selected from Question 5; example, if you selected weekly, how much is your weekly payment)(Required.)
7.What amount are you billed annually for a 'registration' fee? (if not applicable or unsure, answer 0)(Required.)
8.What amount are you billed annually for a 'summer camp' or special activities fee? (if charge exists but your provider would not bill you for it currently based on your child's age, please answer 0)(Required.)
9.Does your child care facility provide any of the following at no cost to you? (check all that apply)(Required.)