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Child Care Resource and Referral Survey
Please rate the quality of the child care referrals you were given:
- None -
Options High Quality
Some High Quality, Some Fair Quality
Options Fair Quality
Some Fair Quality, Some Poor Quality
Options Poor Quality
Please rate the quality of the child care provider you choose:
- None -
Current care high quality
Current care fair quality
Current care poor quality
Please rate the quality of the Child Care Resource and Referral Service:
- None -
High quality counseling
Fair quality counseling
Poor quality counseling
Please rate the quality of the information you received:
- None -
High quality information
Fair quality information
Poor quality information
Would you use our service again?:
- None -
Yes
No
Maybe
How would you best describe your current child care status?:
- None -
Found child care from referrals
Did not find child care services
Kept former provider
Child care not found from referrals
Decided not to use child care service
No decision
Saturday
How did not finding child care impact your life? (Hold down CTRL to select multiple responses):
Lost employment
Arranged temporary child care
Left child home alone
Quit school
Could not accept a job offer
Not applicable - I found child care
What problems did you encounter when searching for child care? (Hold down CTRL to select multiple responses):
Cost
Location
No Openings
Closed Holidays
Schedule
Preferred care not available
Special Needs
Transportation
Quality
None
Please list any problems you encountered when searching for child care:
Please indicate the license type of child care chosen:
- None -
1 Star
2 Star
3 Star
4 Star
5 Star
Faith Based
Provisional
Temporary
License Exempt - preschool or school age program
Do Not Know
Please indicate what factors influenced your choice of child care:
- None -
Low staff to child ratio
Cleanliness
Staff stability
Weekend care
Small group size
Education of Staff
Compliance history
Staff-child interactions
Comments - we welcome your feedback:
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