Needs Assessment Survey for Families

1.How many children do you have between the ages of 0-12?
2.What are the age ranges of your children? (Select all that apply)
3.Are you currently using any child care services?
4.If you answered 'yes' to the above question, what type of child care do you use?
5.Do you face transportation barriers when accessing child care services?
6.If you answered 'yes' to the question above, please explain:
7.How much do you typically spend on child care each month?
8.What percentage of your monthly household income is spent on child care?
9.How satisfied are you with the child care services your child(ren) receive?
10.What are the most important factors in choosing a child care provider? (Select up to 3)
11.Does your child have any special needs that require specialized care?
12.If you answered 'yes' to the above question, how well do you feel the child care provider accommodates these needs?
13.If you answered 'yes' to question 11, what additional resources or support would be helpful in meeting your child's needs?
14.Do you work non-traditional hours (e.g., evenings, weekends)?
15.If you answered 'yes' to the above question, do you find it difficult to access child care during these hours?
16.What other child care options would be helpful for families working non-traditional hours?
17.Does your child care provider offer services that meet your cultural or language preferences?
18.If you answered 'no' to the above question, what additional services would be helpful?