Exit this survey >> Child Care Story 100% of survey complete. Help Us Understand Your Child Care Story! If you are a parent who has children in child care, please complete this survey. Your information will be kept confidential and will be used for statistical purposes only. One survey per family, PLEASE! Question Title * 1. What is your zip code? Zip Code (must reside in Suffolk County) Question Title * 2. How did you hear about this survey? E-mail from Council E-mail from another source Child Care Center Family Child Care Provider Relative or Friend Social Media Question Title * 3. How many children do you have? Question Title * 4. Are your children in child care? Question Title * 5. What is your family composition? (Choose ONE) Single Mother - Employed Single Father - Employed Single Mother - Unemployed Single Father - Unemployed Two Parents - both employed Two parents - only 1 employed Two Parents - both unemployed Other (please specify) Question Title * 6. Why did you choose your current child care arrangements? (only choose 3) Enter 1 for your top choice, 2 for your second choice, and 3 for your third choice. 1 2 3 4 5 6 7 8 9 10 Quality of Care 1 2 3 4 5 6 7 8 9 10 Location 1 2 3 4 5 6 7 8 9 10 Hours 1 2 3 4 5 6 7 8 9 10 Cost 1 2 3 4 5 6 7 8 9 10 Provider is knowledgeable/educated 1 2 3 4 5 6 7 8 9 10 Program accepted subsidy 1 2 3 4 5 6 7 8 9 10 Caregiver is a relative 1 2 3 4 5 6 7 8 9 10 Was highly recommended 1 2 3 4 5 6 7 8 9 10 Program has national accreditation 1 2 3 4 5 6 7 8 9 10 Other Question Title * 7. During the past 6 months, how often have you had difficulty paying for child care? Always Sometimes Rarely Never Question Title * 8. During the past 6 months, in order to pay for child care did you need to (check all that apply): Borrow money from family/friends Use credit card(s) Cut back in other household spending Reduce hours of child care Remove your child from regulated care and use informal care (relatives, friends, etc.) Switch to a less expensive program/provider Use different options to keep cost of care low (ex: use a child care program one day and family/friend another day) None of the above, I have no difficulty with paying for child care on a consistent basis Other Other (please specify) Question Title * 9. What is your total household income? (please enter ONE choice: weekly, monthly, or annually) weekly monthly annually Question Title * 10. Do you currently receive child care subsidy through the Department of Social Services to help pay for child care costs? Yes No Question Title * 11. If yes, are you having difficulty paying your family fee? Yes No Question Title * 12. COMPLETE Q. 12-14 IF YOU HAVE AN INFANT - 0-17 MONTHS OLD...How much do you pay per week for infant care? Question Title * 13. What are your current child care arrangements for your infant? (check all that apply) Child Care Center Licensed/Registered Family Child Care Home Head Start Nanny/Au Pair in my home Parent/Relative/Friend I am currently seeking care Question Title * 14. How satisfied are you with the care your child is receiving? Very Satisfied Satisfied Somewhat Satisfied Dissatisfied Comments: Question Title * 15. COMPLETE Q. 15-17 IF YOU HAVE A TODDLER - 18-35 MONTHS OLD...How much do you pay per week for toddler care? Question Title * 16. What are your current child care arrangements for your toddler? (check all that apply) Child Care Center Licensed/Registered Family Child Care Home Head Start Nursery School Preschool Nanny/Au Pair in my home Parent/Relative/Friend I am currently seeking care Question Title * 17. How satisfied are you with the care your child is receiving? Very Satisfied Satisfied Somewhat Satisfied Dissatisfied Comments: Question Title * 18. COMPLETE Q. 18-20 IF YOU HAVE A PRESCHOOLER - 3-5 YEARS OLD...How much do you pay per week for toddler care? Question Title * 19. What are your current child care arrangements for your preschooler? (check all that apply) Child Care Center Licensed/Registered Family Child Care Home Head Start Nursery School Preschool Camp Nanny/Au Pair in my home Parent/Relative/Friend I am currently seeking care Question Title * 20. How satisfied are you with the care your child is receiving? Very Satisfied Satisfied Somewhat Satisfied Dissatisfied Comments: Question Title * 21. COMPLETE Q. 21-22 IF YOU HAVE A SCHOOL AGED CHILD - Kindergarten to 9th Grade...How much do you pay per week for school aged care? Question Title * 22. What are your current child care arrangements for your school aged child? (check all that apply) Child Care Center Licensed/Registered Family Child Care Home Nanny/Au Pair in my home Camp Parent/Relative/Friend My child takes care of him/her self I am currently seeking care Question Title * 23. How satisfied are you with the care your child is receiving? Very Satisfied Satisfied Somewhat Satisfied Dissatisfied Comments: Question Title * 24. Thank you for completing this survey. All of your information, including your contact information, will be kept confidential and will be used for statistical purposes only. Now that you have completed the survey, you are eligible for a $50 VISA Gift Card drawing!* *We need a valid email address or phone number to be entered into the drawing for a $50 VISA Gift Card. Email Address: Phone Number: First Name (optional): Last Name (optional): Done >>
