Child Care Impact Survey

We know that crisis brought on by the COVID-19 has impacted child care program across the state and in our community. Please take the time to respond to the questions below so that we may have a better understanding of how the pandemic has affected your program and the families you serve.

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* 1. Name of Program

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* 2. Type of Program

FCC

Child Care Center

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* 3. Name

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* 4. Email Contact

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* 5. Are you currently providing Emergency Care?

Yes

Other (please specify)

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* 6. How has the COVID-19 crisis affected your program?

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* 7. What do you anticipate will be your biggest challenges as we begin to recover and your program anticipates re-opening?

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* 8. Please identify supports you may need for your program.

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* 9. What is your current capacity?

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* 10. What ages do you serve?

0-3 years old

3-5 years old

5+ years old

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* 11. Do you have openings?

Yes (0-3)

Yes (3-5)

Yes (5+)

Other (please specify)

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* 12. Is there a wait list?

Yes

Other (please specify)

Thank you for taking the time to respond to this survey so we have a better understanding of how the pandemic has affected your program and the families you serve.