Department of Health and Human Services - Early Childhood Services
Child Care Assistance Questionnaire for Families

Thank you for your interest in the Child Care Assistance Questionnaire for Families. The purpose of this short survey is to better understand the experiences of Montgomery County families related to child care and early education costs. Responses to this survey will inform policy decisions that affect child care assistance in Montgomery County, so your voice matters.

This short survey should take less than 5 minutes to complete, and your participation is completely voluntary. This survey collects no personally identifiable information, and all responses are anonymous.

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* 1. What zip code do you live in?

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* 2. Do you have a spouse/partner who lives with you?

Yes

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* 3. How many of your children ages 0-5 years old live with you? (Write 0 if this does not apply to you)

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* 4. How many of your children ages 6-17 years old live with you? (Write 0 if this does not apply to you)

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* 5. Are you working or in school?

Yes

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* 6. Is your spouse/partner working or in school?

Yes

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* 7. What is your approximate yearly household income (before taxes)?

Under $75,000

$75,000 - $100,000

$100,001 - $125,000

$125,001 - $150,000

$150,001 - $175,000

$175,001- $200,000

Over $200,000

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* 8. Are any of your children enrolled in child care?

Yes

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* 9. Which statements best describe why your children are not in child care? (select all that apply)

My children are too old for child care

Family or friends look after my children

Child care is too expensive

I feel anxious about placing my children in care

I cannot find child care that meets my needs

My preferred child care does not have space

I do not need child care

I prefer to watch my children

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* 10. How many of your children ages 0-5 are enrolled in child care? (Write 0 if this does not apply to you)

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* 11. How many of your children ages 6-13 are enrolled in child care? (Write 0 if this does not apply to you)

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* 12. Do you receive child care vouchers, discounts, or free child care for any of your children?

Yes

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* 13. Which statements best describe the kind of financial help you receive? (select all that apply)

I have a voucher or scholarship

I have a discount that lowers my child care costs

I take my preschooler to MCPS for an early learning program

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* 14. Do you receive child care discounts, vouchers, or assistance from any of these programs? (select all that apply)

I do not know

Maryland Child Care Scholarship

Head Start

Early Head Start

Blueprint for Maryland’s Future

Blueprint Wraparound (Montgomery County)

Working Parents Assistance (WPA) or Child Care Support Services

EquiCare

Military Child Care Assistance

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* 15. Which statements best describe why you do not receive any discounts or vouchers for child care? (select all that apply)

I did not know assistance with child care costs was available

I do not think I would qualify for assistance

I have not applied for assistance in the past year

I applied for assistance and was not eligible

I was waitlisted for assistance

I could not provide everything required to apply

I do not need assistance to afford child care

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* 16. Think about February 2026 to May 2026. How much do you estimate that you paid out of pocket in child care tuition for all your children in a typical month?

I typically pay nothing out of pocket

Under $100 per week (under $430 per month)

$100 - $200 per week ($431-$870 per month)

$201 - $300 per week ($871-$1,300 per month)

$301-$400 per week ($1,301-$1,730 per month)

Over $400 per week (over $1,730 per month)

Department of Health and Human Services - Early Childhood ServicesChild Care Assistance Questionnaire for Families

Question Title

* 1. What zip code do you live in?

Question Title

* 2. Do you have a spouse/partner who lives with you?

Question Title

* 3. How many of your children ages 0-5 years old live with you? (Write 0 if this does not apply to you)

Question Title

* 4. How many of your children ages 6-17 years old live with you? (Write 0 if this does not apply to you)

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* 5. Are you working or in school?

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* 6. Is your spouse/partner working or in school?

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* 7. What is your approximate yearly household income (before taxes)?

Question Title

* 8. Are any of your children enrolled in child care?

Question Title

* 9. Which statements best describe why your children are not in child care? (select all that apply)

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* 10. How many of your children ages 0-5 are enrolled in child care? (Write 0 if this does not apply to you)

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* 11. How many of your children ages 6-13 are enrolled in child care? (Write 0 if this does not apply to you)

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* 12. Do you receive child care vouchers, discounts, or free child care for any of your children?

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* 13. Which statements best describe the kind of financial help you receive? (select all that apply)

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* 14. Do you receive child care discounts, vouchers, or assistance from any of these programs? (select all that apply)

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* 15. Which statements best describe why you do not receive any discounts or vouchers for child care? (select all that apply)

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* 16. Think about February 2026 to May 2026. How much do you estimate that you paid out of pocket in child care tuition for all your children in a typical month?

Department of Health and Human Services - Early Childhood Services
Child Care Assistance Questionnaire for Families