Childcare Partnership Parent Survey

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* 2. What are the ages of your children? Check all that apply.

6 weeks to 11 months

12 months to 23 months

2 years old

3 years old

4 years old

5 years old

School aged

Pregnant or planning to adopt/foster this year

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* 3. How many children do need/would you like to have childcare for?

One child

Two children

Three children

Four children

Five or more children

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* 4. Please indicate the months you would use childcare if it was available for your family.

January

February

March

April

May

June

July

August

September

October

November

December

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* 5. Please check the days you would use childcare if it was available.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

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* 6. What type of childcare do you need?

Full Time Care

Half Day Care

After School Care

Evening Care

Drop in Care

Seasonal Work or Holiday Care

Preschool only (either full-or part-day, in group learning setting), with no before or after care needed

Other (please specify)

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* 7. Please identify any of the childcare associated problems you have experienced around accessing childcare.

Cost of care makes childcare unaffordable for us

Chosen childcare facility had full capacity

Quality of care

Dependable care

Finding care available during work hours

Finding care for a child with special needs

Finding temporary care

Finding care for a sick child

Other (please specify)

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* 8. Please identify each item that describes the type of care you are currently using.

Care by parent in your home

Care in a relative’s home

Care in your home by a non-relative

Care in a non-relative home

Combination of above as needed

Child care center

Currently seeking child care

Other (please specify)

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* 9. Please identify your employment status.

Full-time employed

Part-time employed

Self-employed, owner of a business

Working, but not on a regular basis

Full-time homemaker caring for your own children

Studying in a school or university

None of the above (please specify)

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* 10. What hours/shift do you typically work?

Day time (range of hours between 8am-5pm)

Second shift (5pm – 8pm)

Third shift (9pm and later)

Other (please specify)

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* 11. Do you have a Spouse or Partner who lives with you?

Yes

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* 12. If you answered Yes to question 11, please indicate the category that best describes your spouse/partner’s primary work/study situation.

Full-time employed

Part-time employed

Self-employed, owner of a business

Working, but not on a regular basis

Full-time homemaker caring for your own children

Studying in a school or university

None of the above (please specify)

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

Under $10,000

$10,000 - $19,999

$20,000 - $29,999

$30,000 - $39,999

$40,000 - $49,999

$50,000 - $59,999

$60,000 - $69,999

$70,000 - $79,999

$80,000 - $89,999

$90,000 - $99,999

$100,000 or over

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* 14. How satisfied are you with the following features of your main childcare arrangements?

	Dissatisfied	Somewhat Satisfied	Satisfied	Very Satisfied
Location of Care Facility	Location of Care Facility Dissatisfied	Location of Care Facility Somewhat Satisfied	Location of Care Facility Satisfied	Location of Care Facility Very Satisfied
Quality of Care Provided	Quality of Care Provided Dissatisfied	Quality of Care Provided Somewhat Satisfied	Quality of Care Provided Satisfied	Quality of Care Provided Very Satisfied
Hours of Care Provided	Hours of Care Provided Dissatisfied	Hours of Care Provided Somewhat Satisfied	Hours of Care Provided Satisfied	Hours of Care Provided Very Satisfied
Cost of Care Provided	Cost of Care Provided Dissatisfied	Cost of Care Provided Somewhat Satisfied	Cost of Care Provided Satisfied	Cost of Care Provided Very Satisfied

Other (please specify)

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* 15. If you are dissatisfied with any part of this child care arrangement, what keeps you from changing it? Indicate all responses that apply.

More satisfactory child care would be too expensive

More satisfactory child care arrangements are not available in my community

Too busy right now to find time to change arrangements

Other (please specify)

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* 16. How much do you pay per month for childcare?

Child 1:

Child 2:

Child 3:

Child 4:

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* 17. Would you be willing and able to pay higher childcare tuition or enrollment fees than you are currently paying to have more satisfactory childcare?

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* 18. Are your childcare fees subsidized by ECEAP (Early Childhood Education Assistance Program) or WCC (Working Connections Childcare)?

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* 19. Are you receiving childcare financial assistance through community organizations or your childcare provider?

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* 20. Do you think of yourself as:

Female 

Male 

Transgender man/trans man 

Transgender woman/trans woman 

Genderqueer/gender nonconforming neither exclusively male nor female

Additional gender category or other (please specify):

Decline to answer

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* 21. Do you think of yourself as:

Straight or heterosexual 

Lesbian 

Gay 

Bisexual 

Queer, pansexual, and/or questioning

Don’t know

Something else (please specify):

Decline to answer

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* 22. What is your race or ethnicity? Choose all that apply.

White or Caucasian 

Black or African American  

Hispanic or Latino 

Asian or Asian American  

American Indian or Alaska Native 

Native Hawaiian or other Paciﬁc Islander 

Childcare Partnership Parent Survey

San Juan County Early Learning Coordination

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* 1. Are you a resident of or work on Lopez Island?

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* 2. What are the ages of your children? Check all that apply.

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* 3. How many children do need/would you like to have childcare for?

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* 4. Please indicate the months you would use childcare if it was available for your family.

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* 5. Please check the days you would use childcare if it was available.

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* 6. What type of childcare do you need?

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* 7. Please identify any of the childcare associated problems you have experienced around accessing childcare.

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* 8. Please identify each item that describes the type of care you are currently using.

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* 9. Please identify your employment status.

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* 10. What hours/shift do you typically work?

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* 11. Do you have a Spouse or Partner who lives with you?

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* 12. If you answered Yes to question 11, please indicate the category that best describes your spouse/partner’s primary work/study situation.

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

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* 14. How satisfied are you with the following features of your main childcare arrangements?

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* 15. If you are dissatisfied with any part of this child care arrangement, what keeps you from changing it? Indicate all responses that apply.

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* 16. How much do you pay per month for childcare?

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* 17. Would you be willing and able to pay higher childcare tuition or enrollment fees than you are currently paying to have more satisfactory childcare?

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* 18. Are your childcare fees subsidized by ECEAP (Early Childhood Education Assistance Program) or WCC (Working Connections Childcare)?

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* 19. Are you receiving childcare financial assistance through community organizations or your childcare provider?

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* 20. Do you think of yourself as:

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* 21. Do you think of yourself as:

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* 22. What is your race or ethnicity? Choose all that apply.