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* 1. Personal Information:

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* 2. Are you a parent, guardian, community member, other (please specify)?

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* 3. How many children do you have under the age of 6?

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* 4. What is the age range of your child(ren)? Check all that apply

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* 5. What are the most important factors for you when choosing a child care center? (Rank in order of importance: 1 = Most Important, 5 = Least Important)

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* 6. What types of child care services are you most interested in? (Check all that apply)

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* 7. What hours of operations are you most interested in? (Check all that apply)

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* 8. Would you like to be added to our waitlist for future enrollment opportunities and receive updates about our child care center?

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* 9. What is an ideal timeframe for child care services to begin?

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* 10. Please feel free to share any additional comments or concerns you may have. Thank you for your participation! Your feedback is greatly appreciated.

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