Please help us understand your experience using child care by answering the survey questions below.

The information shared will be kept anonymous and confidential. It will be combined with the answers from all others who take the survey. The results may be shared with organizations and in the community to help us all understand and address local child care needs. Thank you!

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* 1. Where do your young children stay while you are at work? Please check all that apply.

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* 2. I feel that my children are safe and happy in a child care program where play and learning go hand in hand along with indoor and outdoor activities; books and music are included in the daily routine.

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* 3. How have your child care arrangements interfered with your employment? Please check all that apply.

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* 4. If you have missed work or been late to work due to child care issues, how many times has this happened?

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* 5. How much time do you spend making alternate child care arrangements during your work hours? This includes arranging for early school releases, snow days, child illness, etc.

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* 6. Are you currently using multiple child care providers to meet your needs? If so, how many?

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* 7. How far do you travel out of your way for child care?

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* 8. What is your #1 concern about child care services in our community?

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* 9. Do you have options if your child becomes sick and has to leave child care?

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* 10. Does your employer offer programs to help offset the cost of child care (reimbursement, cafeteria/flex spending plan, etc.)?

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* 11. Do you prefer a center or in-home child care provider? Please select only one answer

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* 13. How many children do you have in each of these age categories? Respond to each category. If you don't have a child in an age range, put "0". 

The next two questions will help us know the percent of income that families are spending on child care.

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* 14. What is your monthly household income before taxes and other deductions?

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* 15. What do you pay monthly for child care, on average?

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* 16. Is there anything else you would like to share?

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