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Childcare Survey
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Edward Street Child Services and the Early Learning Leadership Advisory Council are interested in
learning how the system of Early Education and Care works for parents and employers in our
community.
This survey is completely confidential. If you wish to receive a copy of the final results you may leave
your email address at the end of the survey and a copy will be sent to you. A final copy will also be
available on this website when complete, so if you do not wish to provide your address, please check
back soon.
Thank you for taking the time to help us with this research. Your responses will inform our planning
for the community. It should take no more than 15 minutes to complete.
To respond, highlight your answer, check or enter text in the appropriate box.
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1. Where are you employed? (Enter name of business or organization.)
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2. What is your age?
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3. Gender
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4. What is your marital status?
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5. City or town of residence
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6. What is your approximate household income?
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7. Which category best describes your job?
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Other (please describe)
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8. On a regular basis your job is:
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9. Your job shift is mostly:
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Other (please specify)
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10. Do you have any childcare responsibilities or childcare needs for children in your care?
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11. If your job has been impacted by another employee's childcare concerns, please indicate to
what extent.
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12. Please indicate the number and ages of children in care.
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0 - 18 months
18 months - 36 months (3 years)
3 years to 5 years
8 years to 12 years
13 years to 18 years
Older than 18
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13. Please tell us what types of childcare you currently use while you are working (check all that apply)
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Licensed Center-Based Care
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Head Start
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Family Child Care (in a professional's
home)
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Nanny or Au Pair (a professional comes to
your home)
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Family, Friend or Neighbor
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After School Care (at school or community
center)
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Other (please specify)
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14. During what days and hours do you need or use childcare?
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Monday through Friday from
indicate am or pm
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to
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Saturday from
indicate am or pm
Sunday from
indicate am or pm
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to
to
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None
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15. Childcare Costs
What do you currently pay per week for childcare?
What are you willing to pay?
Not applicable
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16. What barriers do you have for accessing quality childcare? (check all that apply)
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Don't Know Where to Look for a Referral
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Waiting List/No Openings
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Costs More than I Can Afford
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Not Available During My Work Hours
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Do Not Know How to Assess Quality
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17. Does your child have special needs? (check all that apply)
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Developmental Delays
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Behavior Problems
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Learning Problems
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Health Problem that Requires Daily
Medication
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No
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Other (please specify)
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18. Over the past 6 months, have childcare issues or concerns caused you to be absent from work?
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19. Over the past 6 months have childcare issues caused you to be late for work?
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20. Over the past six months how many times have you had to leave work early due to childcare issues?
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21. Please indicate what has been the cause of work interruptions. (Check all that apply)
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Trying to Find Childcare
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Making Other Arrangements because of
Problems with your Regular Provider
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Finding Care for a Sick Child
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None
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Other (please specify)
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22. If your child is sick, which of the following are you most likely to do?
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Stay at Home with the Child
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Your Spouse/Partner Stays Home
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Child Stays Home Alone
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Hire Someone to Stay with the Child
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Take Sick Child to a Relative's Home
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Take Sick Child to Work
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Send Sick Child to Regular Provider
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Sibling Stays Home with Child
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Other (please specify)
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23. Over the past 6 months have you considered terminating your employment or finding another job
due to childcare issues or concerns?
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24. How did you find the childcare you currently have? (check all that apply)
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Own Research
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Employer Referral Program
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Resource and Referral Agency
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Internet
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Phone Book
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Newspaper
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Relative
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Community Agency (i.e.: United Way.)
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Other (please specify)
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25. How satisfied are you with your current childcare provider?
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26. Is your childcare provider (check all that apply)
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Licensed
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NAEYC Accredited
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Don't Know
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Accredited by another organization
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27. What are your childcare concerns? (check all that apply)
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Quality of Care
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Cost of Care
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Availability of Care
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Location of Care
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Dependability of Care
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Emergency Care
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Lack of Information about Child Care
Resources and Supports
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Other (please specify)
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28. Do your coworkers or supervisors understand your childcare needs as an employee?
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29. Have you hidden the fact that you've had child care issues, child illness issues or child
snow day absences from worK?
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30. Does your employer offer any family support benefits to your knowledge?
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31. If your employer provides child care or family support benefits, which benefits or
supports have you used? (check all that apply)
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Use of Sick Leave for Family Illness: Employees who receive
a varying number of paid days off can use these days when
family members are ill.
Personal Leave: This allows employees a specified number
of days yearly (with or without pay) to deal with urgent
short-term needs such as school conferences that cannot be
scheduled outside of normal work hours
Paid-Time-Off programs: Employees receive a fixed number
of days off per year to use when and for whatever reasons
they choose.
Flextime: Allows employees to adjust their arrival and
departure times around designated "core hours" or a certain
number of hours per day or week.
Childcare Subsidy/Voucher: Employers may offer workers a
childcare allowance or subsidy that lets them choose their
own quality childcare arrangement for themselves.
Dependent Care Spending Assistance Plan: A plan set up
according to section 125 of the IRS Tax Code. The employer
and the employee agree to reduce the employee's income by
a certain amount which is placed in a dependent care
assistance fund. The money is not taxed at the federal or
state level. It must be used within a given year for the
designated purpose or the balance is forfeited.
Child Care Scholarship Assistance: Employer established
program which provides childcare assistance based on
guidelines established by the employer.
Business Collaboration: The employer supports a child care
center that holds child care slots for employees.
Other (please specify)
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32. We have tried to be as comprehensive as possible. If you have any thoughts or suggestions that
you believe would be helpful as we look at improving access to high quality early childhood education
and care, please use the space below.
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33. The results of our community survey will be available on our website www.edwardstreet.org
when completed. If you would like a copy e-mailed to you directly, please provide your e-mail
address below.
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Thank you for your assistance with this important community project.
Visit us at www.edwardstreet.org or www.earlychildhoodcentral.org for more information.
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