Child Care Toolkit Survey We would like to get your input as to how helpful you find the resources and information shared on our website. Your responses are confidential and will not affect any services that you currently receive. We appreciate your time and help in completing our survey. Question Title * 1. Are you visiting this site as a...? Parent of a child Relative of a child Provider of services for a child (e.g., ECE provider, Health Care provider, or Staff from Community-Based Organization) Question Title * 2. How many times have you visited this website before? This is my first time visiting this website. 1 - 3 times. 4 - 6 times. 7 - 9 times. 10 or more times. Question Title * 3. How did you learn about this website (http://www.helpmegrowoc.org/child-care-toolkit.html)? Early childcare and education Family physician/pediatrician Referral from a friend/family Other (please specify) Question Title * 4. How old is the child you are visiting this site for? Question Title * 5. What is your zip code? Question Title * 6. Which page most closely relates to your current situation? (Please place a checkmark beside the icon below). Question Title * 7. Which page has the most useful information that you will follow through on? (Please place a checkmark beside the icon below). Question Title * 8. How satisfied were you in obtaining the information you needed on the webpages below? (Please select one option for each row). Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied N/A Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied N/A Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied N/A Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied N/A Question Title * 9. Why did you visit this website today? I am here for informational purposes. I want to better understand the resources available. There is someone I have concerns about. Other (please specify) Question Title * 10. How likely are you to share information from this website with people that may benefit? Highly Likely Likely Neutral Unlikely Highly Unlikely Highly Likely Likely Neutral Unlikely Highly Unlikely Question Title * 11. If you would like to be contacted about additional resources and/or services, please enter your preferred contact information below. Name Phone Number E-mail address Thank you for completing our survey. Done