Child and Family Resources, Inc. is researching the needs of the communities to be better able to provide services. This survey will help us better serve you! We will be holding a drawing for 2 gift cards to show our appreciation for you taking the time to fill out our survey.

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* 1. What county do you live in?

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* 2. What county do you work in?

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* 3. What school district do you reside in?

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* 4. How many children live in your household?

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* 5. How many adults live in your household?

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* 6. Do you live in a

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* 7. Please check one:

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* 8. What is the annual household income?

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* 9. Please check all that apply.

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* 10. Please tell us what setting your child/children are in care by their age: Check all that apply.

  Infant (0-2 years) Toddler (2-3 years) Preschool (3-5 years) School Age (5-12 years) Older school age (13-16 years)
Parent or other relative in home
Relative Care (grandparent/aunt/uncle)
Regulated School-Age
After-school program (non-regulated)
Neighbor or friend
Children stay home
Regulated Family or Group Family Child Care
Head Start
Part day preschool or nursery school
Camp (during school breaks/summer)
Child Care Center
Nanny
Legally Exempt
Universal Pre-K

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* 11. Are you satisfied with the child care setting you currently use?

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* 12. Approximately how many hours per week do your children need care? Check all that apply if you have more than one child with different needs.

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