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* 1. What is your age group?

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* 2. What is your current employment situation?

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* 3. If you work remotely or hybrid, would you bring your child in for on-site care?

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* 4. What are your usual work hours (select all that apply)?

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* 5. How far do you live from your workplace (if applicable)?

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* 6. What is your relationship to BMIC? (Select all that apply)

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* 7. Do any of your children require special accommodations (e.g., developmental delays, disabilities, allergies, dietary restrictions)?

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* 8. Please indicate how many children you have in each age group:

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* 9. Who currently provides child care for your child(ren)? (Select all that apply)

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* 10. Does your current child care arrangement meet your needs?

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* 11. Are you currently on a waitlist for child care?

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* 12. How long does your typical child care arrangement last each day?

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* 13. Do you have backup child care when your regular provider is unavailable?

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* 14. In the past 12 months, has your child care been unavailable due to (select all that apply):

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* 15. What are your biggest challenges with child care? (Select all that apply)

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* 16. Are you aware of local or state child care financial assistance programs?

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* 17. Are you currently receiving financial assistance for child care (e.g., subsidy, CCW)?

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* 18. Approximately how much do you currently spend on child care per week?

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* 19. What percentage of your household income goes toward child care?

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* 20. What hours would you need on-site child care? (Select all that apply)

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* 21. What services would you value in an on-site program? (Select all that apply)

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* 22. Would you be interested in participating in a follow-up interview or focus group?

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