WECAN PARENT & FAMILY CONVERSATIONS Survey

1.Organizer

Alexa

Emelyn

Lucia

2.Campaign

Other (please specify)

3.Parent/Family Contact Information

First Name

Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

County

Email Address

Phone Number

4.Preferred Language

English

Spanish

Other (please specify)

5.What has it been like to find childcare?

Elaborate on the parent/family experience looking for childcare.

6.Have you applied for a childcare subsidy?

Yes

No

Describe the parent/family experience, including whether or not they qualified for the subsidy and the amount (if known).

7.How do you drop off and pick up your children?

Parent/Guardian drives

Parent/Guardian takes public transit

Family, friend, or neighbor drives

Family, friend, or neighbor takes public transit

Other (please specify in the comment box below)

Please elaborate on the parent/family experience dropping off and picking up child(ren) from childcare, including drop off and pick up times.