The Sikeston region wants to know more about the childcare need for those who are working or want to work. This survey is ANONYMOUS. The information will go to a third party (Chrisman Consulting), and no personal identifying information is required. To accurately assess the local childcare situation and need, please answer the following questions honestly and completely.

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* 1. What is your sex?

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* 2. What is your age?

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* 3. What is your current marital status?

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* 4. Where do you live (county)?

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* 5. What school district do your children attend or will attend?

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* 6. What is your current employment status?

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* 7. What industry do you currently work in, or if not working, what industry do you want to work in?

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* 8. What is your current household income? (Overtime not included.) This information is used to determine what percentage of income is spent on childcare and how it compares to the national average.

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* 9. Do you have children in need of childcare currently?

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* 10. Will you have a future need for childcare in the next 6-12 months?

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* 11. Are the children who need/will need care:

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* 12. How many children in each age group need childcare?

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* 13. For school-age children, do you need:

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* 14. During the summer, where do your school-age children currently go?

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