We believe that some residents may have lost their daycare due to Covid-19. We are using this survey to see if there are Canaan residents who would like to be part of a daycare exchange. If there is interest we will try to set up the exchange online.

Childcare Needs Assessment Survey

Question Title

* 1. Are you willing to provide childcare?

Yes - temporarily

Yes - permanently

Part Time

Full Time

No, not at all

Question Title

* 2. What days are you available?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Question Title

* 3. What times are you available?

6 am - 9 am

9 am - 12:00 pm

12:00 pm - 3:00 pm

3:00 pm - 6:00 pm

other

Question Title

* 4. How many children would you consider providing daycare for?

other

Question Title

* 5. What age group would you consider providing daycare for?

infant

toddler

preschool

K - 4th grade

5th grade to 7th grade

Question Title

* 6. What would you expect to receive for pay?

by the hour?

by the day?

by the week?

by child?

Question Title

* 7. Would you give permission to share your contact information with an interested party for childcare?

Yes

Question Title

* 8. Please provide your contact Information. It will not be shared without your permission.

Name

Address

Address 2

City/Town

State

ZIP/Postal Code

Email Address

Phone Number