This is an assessment of childcare needs of the Stockbridge-Munsee Community and surrounding areas. We would like to determine if there is a childcare need and how prominent it is in our community. We would appreciate your time in helping us by answering a few questions.

All information provided in this survey will be handled confidentially.
Thank you for providing feedback on your childcare needs.

This survey should only take 10 minutes or less of your time.

* 1. Do you believe there are adequate childcare services in the Stockbridge-Munsee Community?

* 2. Are you currently using childcare services?

* 3. If yes, please indicate the age range of your children in need of childcare services (Select all that apply)

* 4. Please indicate the type of childcare service you require for your child(ren) in the next year

  Full Time (5 days/week) Part- Time (a.m.) Part- Time (p.m.) After School Only 1-2 days/week
Ages 1-18 Months
Ages 19 Months - 2.5 years
Ages 2.5 - 5 years
Ages 6 - 9 years
Ages 10 - 12 years
Ages 13 years +

* 5. Please indicate the time frame you may need childcare for work, school, (select all that apply)

  8:00am-4:30pm 6:00am-2:00pm 2:00pm-10:00pm 10:00pm-6:00am
ages 1-18 months
ages 19 months-2.5 years
ages 2.5-5 years
ages 6-9 years
ages 10-12 years
ages 13 years +

* 6. Please indicate the frequency of care you require:

* 7. Please rate the following four (4) factors in terms of importance, where 1 is the most important:

* 8. If you currently benefit from child care services, would you consider using Stockbridge-Munsee instead of your current child care arrangements?

* 9. If you do not utilize child care services, what prevents you from using these services?  (Select all that apply)

* 10. What is your annual family income before taxes are deducted?

* 11. Do you have any other comments, suggestions, or otherwise about how the Stockbridge-Munsee Community can meet your Childcare needs?