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* 1. Do you currently have children in childcare or have you had children in childcare in the past 12 months?

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* 2. What is your family composition and employment status?

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* 3. While your children were in care, did you ever have trouble affording tuition?

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* 4. If you cannot easily afford childcare, have you (check all that apply):

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* 5. Do/did you receive state assistance subsidy to pay for childcare?

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* 6. If you do/did receive state assistance, do you have trouble paying your cost share?

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* 7. White Birch has potential discounts available to families for electricity, insurance, propane, etc., through State Early Learning Alliance. Why do you not apply for these discounts?

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* 8. Please indicate the reasons why you chose your specific childcare arrangement (check all that apply):

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* 9. Of all the reasons you indicated in the previous question, what are the two most important (choose only 2):

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* 10. Have you ever been frustrated with White Birch childcare? Please indicate why, checking all that apply:

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* 11. My opinion of White Birch childcare is more informed by: Please rank in order of importance to you from 1 to 3  (1 being the most important)

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* 12. I feel my child is loved at White Birch Center

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* 13. On a scale of 1 to 5 (1 being never and 5 being always), please rate the following regarding the staff at White Birch:

  1 - Never 2 4 5 - Always
Make me feel welcome
Are knowledgeable
Are professional
Are personable

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* 14. How clear is the information and communication from your childcare provider about:

  Excellent Adequate Unclear
Schedule changes
Payments
Policies
Meals/snacks
Child's development and learning

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* 15. The curriculum is appropriate and engaging for my child

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* 16. How familiar are you with age appropriate curriculum and developmental behaviors at White Birch?

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