Marshall County COVID-19 Families of Young Children Check-In

We are conducting a quick check-in on families of young children in Marshall County, if you can take a few minutes to complete the following survey it would help us get a handle on the current needs of our families and understand how you all are doing during this period of social distancing. Know that at no time will we collect any personally identifying information.

Thank you for taking a few minutes to complete this, among all of the other responsibilities you are juggling.

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* 1. What is your current zip code?

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* 2. What are the ages of your children? (check all that apply)

Birth to age 2

age 3-4

age 5-6

age 7-8

Other (please specify)

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* 3. Do you currently have access to childcare (hourly, part day, full day, etc.) when you need it?

Yes

Other (please specify)

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* 4. What Internet enabled devices do you have access to at home? (Check all that apply)

Phone

Tablet

Computer

None at this time

Other (please specify)

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* 5. Do you have access to Internet at home?

Yes, via at-home Internet provider (like Comcast, MetroNet, etc.)

Yes, via my mobile phone service only

Not at this time

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* 6. Have you had any trouble accessing healthcare during the past ten days?

Yes

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* 7. If you have a child with special needs have you been able to access therapies that they require?

Yes

Partially/Only some

Doesn’t apply to me

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* 8. If you have a child with special needs have you been able to access respite care that you need?

Yes

Partially/Only some

Doesn’t apply to me

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* 9. Has anyone in your family struggled with access to food in the last ten days? (check all that apply)

Yes, financially it is difficult

Yes, but it has been caused by not having enough in stock at local stores

Yes, it’s been difficult to get to the store with young kids at home

Other (please specify)

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* 10. Has anyone in your family struggled with access to home supplies, diapers, wipes, etc. in the last ten days? (check all that apply)

Yes, basic home needs

Yes, diapers and/or wipes

Yes, it is a financial issue for our family at this time

Other (please specify)

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* 11. At this time does anyone in your family need help in finding mental health resources?

Yes

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* 12. At this time does your family need financial assistance?

Yes

Not right now but may in the future

Other (please specify)

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* 13. Are you paying for childcare that you cannot, at this time, access?

Yes

Other (please specify)

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* 14. Which of the following best describes how your family is being impacted by social distancing...

No impact (things are pretty normal for our routine)

A bit off our routine but manageable

It’s starting to get hard

Things are a little crazy, but we are making it work

Our lives have been turned upside down and we are struggling

Other (please specify)

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* 15. Would you like more information from your childcare/preschool providers on any of the following? (Check all that apply)?

Locations of food pantries and other assistance

Options for other child care if my primary childcare provider closes

Recipes for kids

Activities I can do at home with my kids

Activities my kids can do independently at home

Tips for finding books to read with kids online

Strategies for managing difficult behavior

Physical activities we can do indoors

Updates from the City

Clear guidelines on what to do if you suspect anyone in your family is sick, the providers policy on attending school or under what conditions the program will close

Other (please specify)

Marshall County COVID-19 Families of Young Children Check-In

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* 1. What is your current zip code?

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* 2. What are the ages of your children? (check all that apply)

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* 3. Do you currently have access to childcare (hourly, part day, full day, etc.) when you need it?

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* 4. What Internet enabled devices do you have access to at home? (Check all that apply)

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* 5. Do you have access to Internet at home?

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* 6. Have you had any trouble accessing healthcare during the past ten days?

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* 7. If you have a child with special needs have you been able to access therapies that they require?

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* 8. If you have a child with special needs have you been able to access respite care that you need?

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* 9. Has anyone in your family struggled with access to food in the last ten days? (check all that apply)

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* 10. Has anyone in your family struggled with access to home supplies, diapers, wipes, etc. in the last ten days? (check all that apply)

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* 11. At this time does anyone in your family need help in finding mental health resources?

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* 12. At this time does your family need financial assistance?

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* 13. Are you paying for childcare that you cannot, at this time, access?

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* 14. Which of the following best describes how your family is being impacted by social distancing...

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* 15. Would you like more information from your childcare/preschool providers on any of the following? (Check all that apply)?

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* 16. Are there any other needs or issues that you are dealing with that you could use some help with?