Survey for Child Care Professionals - Maryland Health Connection

Demographic information

A bill passed in Maryland this year requires the Maryland State Department of Education to collaborate with Maryland Health Connection to promote health insurance access for child care professionals (reference Md. Code, Insurance § 31-125). This survey and your insight will help us determine the best way to provide access to affordable coverage. Thank you for your feedback.

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* 1. If you would like to be entered to win a $100 Amazon gift card, provide your email. This information is confidential and will only be used to contact the winners and distribute the gift card.
Completion of the survey is not required to enter the gift card raffle. All that is needed is your email address so we can contact you if your name is drawn.

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* 2. What is your age (in years)?
Please enter a number (e.g., 26):

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* 3. What is your gender?

Female

Male

Non-binary

Prefer not to say

Prefer to self-describe/Other (please specify):

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* 4. What is your ethnicity?

Hispanic or Latino/a

Not Hispanic or Latino/a

Prefer not to answer

Other (please specify):

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* 5. What is your race?
(Select one or more)

American Indian or Alaska Native

Asian

Black or African American

Middle Eastern or North African

Native Hawaiian or Other Pacific Islander

White

Prefer not to answer

Other (please specify):

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* 6. What is the highest level of school you have completed?

Less than high school

High school diploma or GED

Some college, no degree

Associate’s degree

Bachelor’s degree

Graduate or professional degree

Prefer not to answer

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* 7. What languages do you speak fluently?
(check all that apply)

English

Spanish

French

Amharic

Korean

Chinese (Mandarin or Cantonese)

Vietnamese

Arabic

Prefer not to answer

Other (please specify)

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* 8. What is your total household income before taxes for the past year?

Less than $20,000

$20,000 to $34,999

$35,000 to $49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $149,999

$150,000 or more

Prefer not to answer

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* 9. How many people live in your household, including yourself? (Generally, your household includes the people you put on your tax form)

Clear

i We adjusted the number you entered based on the slider’s scale.

Survey for Child Care Professionals - Maryland Health Connection

Demographic information

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* 2. What is your age (in years)? Please enter a number (e.g., 26):

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* 3. What is your gender?

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* 4. What is your ethnicity?

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* 5. What is your race? (Select one or more)

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* 6. What is the highest level of school you have completed?

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* 7. What languages do you speak fluently? (check all that apply)

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* 8. What is your total household income before taxes for the past year?

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* 9. How many people live in your household, including yourself? (Generally, your household includes the people you put on your tax form)

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* 10. What county do you live in?

* 2. What is your age (in years)?
Please enter a number (e.g., 26):

* 5. What is your race?
(Select one or more)

* 7. What languages do you speak fluently?
(check all that apply)