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Hey,

I am working on opening a Day care and I need to assess the need in our community. So I really need your help. Please complete this survey so that I can get a feel of your wants and needs and better serve you :)

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
~Your Family~

Are you?
 
One-parent family
 
Two-parent family
 
 
 
Which Parent works?
 
Me
 
My partner
 
Neither
 
 
 
Ages of Children (Check one for each child)?
 
0-12 months
 
2yrs
 
3yrs
 
4yrs
 
5yrs
 
6yrs
 
7yrs
 
8yrs
 
9yrs
 
10yrs
 
11yrs
 
12yrs

 
 
 
~Need for Child Care~

Do you presently use child care?
 
Yes
 
No
 
 
If yes, what type? (if does not apply to you, click on other and write N/A)
 
In your home
 
In someone else's home
 
In a center
 
Other (please specificy
 
 
 
If no, the reason for not using child care is (if does not apply to you, click on Other and write N/A)
 
Lack of Adequate child care
 
No need for child care
 
Cost is too high
 
Other (please specify)
 
 
 
 
Do you plan on using child care in the immediate future?
 
Yes
 
No
 
 
 
If yes, what age would your child be then?
   
 
 
 
~Goals~

My purpose for using child care is
 
Drop in or short term
 
Only as a "babysitter" (custodial care)
 
For my child to develop academically
 
For my child to develop Socially and emotionally
 
Other (specify)
 
 
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