Child Care Counts is a task force dedicated to stabilizing and increasing the number of available slots for high quality child care in Windham County. Recognizing that access to child care is a critical economic and workforce development issue, we seek to engage a broad range of partners invested in the issue.

We are seeking input from our community on your experiences as a worker and a caregiver. Your answers will assist the task force to prioritize our work in the coming months.  This survey should take about 10 minutes to complete. 

Thank you!

Are you currently (check all that apply):

Question Title

* 1. Are you currently (check all that apply):

Which best describes your work schedule?

Question Title

* 2. Which best describes your work schedule?

Work schedule

Question Title

* 3. Work schedule

What shift do you usually work?

Question Title

* 4. What shift do you usually work?

Do you receive:

Question Title

* 5. Do you receive:

How much flexibility do you have in your work schedule to handle family responsibilities?

Question Title

* 6. How much flexibility do you have in your work schedule to handle family responsibilities?

If you are in school or a training program, what best describes your school/training?

Question Title

* 7. If you are in school or a training program, what best describes your school/training?

In the past month to what extent child care been a source of stress:

Question Title

* 8. In the past month to what extent child care been a source of stress:

Please describe child care stressors:

Question Title

* 9. Please describe child care stressors:

Demographic information:

Question Title

* 10. Demographic information:

Household Income:

Question Title

* 11. Household Income:

If you live alone please skip to question 18

What are the ages and relationships of the people who live in your household:

Question Title

* 12. If you live alone please skip to question 18

What are the ages and relationships of the people who live in your household:

What best describes your marital status:

Question Title

* 13. What best describes your marital status:

Is your spouse/partner employed?

Question Title

* 14. Is your spouse/partner employed?

How many hours per week does your spouse/partner work?

Question Title

* 15. How many hours per week does your spouse/partner work?

What shift does your spouse or spouse/partner work?

Question Title

* 16. What shift does your spouse or spouse/partner work?

How much flexibility does your spouse or partner have in his/her work schedule to handle child care responsibilities?

Question Title

* 17. How much flexibility does your spouse or partner have in his/her work schedule to handle child care responsibilities?

Do you have children/stepchildren aged 18 and younger who do not live with you?

Question Title

* 18. Do you have children/stepchildren aged 18 and younger who do not live with you?

Do you have children/step-children living outside the home for whom you provide financial support?

Question Title

* 19. Do you have children/step-children living outside the home for whom you provide financial support?

Please check the one response that best describes your situation when your child is sick

Question Title

* 20. Please check the one response that best describes your situation when your child is sick

For all your children combined, how much on average, do you spend each month on child care expenses?

Question Title

* 21. For all your children combined, how much on average, do you spend each month on child care expenses?

How comfortable are you talking with co-workers and with your supervisor about your responsibilities for children? (check N/A if you do not have co-workers or a supervisor)

Question Title

* 22. How comfortable are you talking with co-workers and with your supervisor about your responsibilities for children? (check N/A if you do not have co-workers or a supervisor)

  Not at all Just a little Somewhat Very N/A
Coworkers
Supervisors
In the past month, because of your responsibilities for children, how often have you had to, or chosen to (write the number of times):

Question Title

* 23. In the past month, because of your responsibilities for children, how often have you had to, or chosen to (write the number of times):

In the past month how often have you worked less effectively because you were concerned or upset about child care issues:

Question Title

* 24. In the past month how often have you worked less effectively because you were concerned or upset about child care issues:

Because of your child care responsibilities, in the past year, have you:

Question Title

* 25. Because of your child care responsibilities, in the past year, have you:

Below is a list of workplace supports that have been offered by some employers. For each of these supports please indicate whether you currently use; would use if it were available and you needed it; or would probably not use even if it were available and needed.

Question Title

* 26. Below is a list of workplace supports that have been offered by some employers. For each of these supports please indicate whether you currently use; would use if it were available and you needed it; or would probably not use even if it were available and needed.

  Currently use Would use Would not use
Flexible work hours
Job sharing
Option to work from home/telecommute
Unpaid leave
Personal time off or other paid leave
Program to set aside pre-tax dollars to pay for care
Subsidy for child care
On-site child care center
On-site support group for parents
On-site parent education program(s)
Employee assistance programs
Wellness program
Social/family activities
Please add any comments about your experience as a working parent.

Question Title

* 27. Please add any comments about your experience as a working parent.

If you would like to stay informed about Child Care Counts and local efforts to improve our early care and learning system , please feel free to include your contact information.

Question Title

* 28. If you would like to stay informed about Child Care Counts and local efforts to improve our early care and learning system , please feel free to include your contact information.

T