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Parent/Carer Survey 2012
1.
Name of group / area where the respondent is from
*
2.
What is your full postcode?
(Required.)
*
3.
Are you or your partner responsible for the care of any children, as a parent or carer?
(Required.)
Yes
No
*
4.
If yes, how many children of each age group do you have?
(Required.)
2 years and under
3-4 years
5-7 years
8-10 years
11-14 years
15-17 years
*
5.
Do any of your children have a disability?
(Required.)
Yes
No
If yes, how old are the children with a disability?
*
6.
What is your gender?
(Required.)
Male
Female
*
7.
Are you bringing up children on your own?
(Required.)
Yes
No
*
8.
Do you currently use childcare?
(Required.)
Yes
No