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* 3. Where is your business located? Choose all that apply:

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* 4. Has your business ever conducted a survey to identify your employees’ child care needs?

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* 5. Have your employees’ child care issues impacted your business (i.e. missing work, lack of attention, lack of productivity, etc.) ?

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* 6. Have you experienced any recruitment challenges due to employees’ child care issues?

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* 7. Have you experienced any retention challenges due to employees’ child care issues?

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* 8. What types of child care benefits does your business currently offer your employees? Select all that apply.

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* 9. Are you aware that there are Federal and NYS employer tax incentives that your business can receive for providing child care benefits?

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* 10. Would you be interested in learning more about: (choose all that apply)

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* 11. Please provide us with your contact information, to receive the Business Navigator, and allow us to follow up:

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