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Shullsburg Daycare Needs Questionnaire

Dear parents and expecting parents,

If you have children age 12 or younger, please complete this survey to assist the School District in determining what the current daycare needs are.  This will help the team start building the program and moving forward with the planning.

This survey will take about 5-10 minutes to complete.  Please help share the link with other parents who may be needing daycare.
1.What city/town do you live in?
2.What time of day does your family need daycare services?
3.What days of the week would your family need care? (Select all that apply)
4.How many children would need daycare services?
5.What ages would you need care for? (select all that apply)
6.For your children ages 0 to 5 (not in Kindergarten), what would be your preferred hours? If you have no children in this age group, please put N/A.
7.For your children ages 5 to 12, what would be your preferred hours? If no children in this age group, please put N/A.
8.What would be your need for care?
9.If interested in being added to the WAITLIST for the Shullsburg School District's Daycare, please provide us with the following information: your name, address, phone number, and child(ren)'s name and ages.