EmailMeForm
TOPP KIDS Community Needs Assessment Survey
Dear parent or guardian:
This is an assessment of child care needs of your community. If you have parenting responsibilities, we would appreciate your time in helping us assess your needs. Your feedback is completely anonymous.
Would you use childcare services if they were available to you?
Yes
No
Maybe
If yes or maybe please complete the remainder of this survey
Are you currently using childcare services?
Yes
No
Please specify the type services you use:
Number of children currently in care
Per child cost of your current childcare:
Please mark the type of childcare needed:
Before School Care
After School Care
Kindergarten Care
PD Day Care
Spring Break Care
Summer Care
Other
Are you satisfied with your current childcare arrangements?
Yes
No
if no, please explain below
If you do not utilize childcare, what prevents you from using services?
Cost
Availability
Location
Van/Carpool
Hours of Operation
Happy with current arrangements
Other
How MANY chldren do you have in each of the following age groups?
0 - 5 years old
0
1
2
3 or more
6 - 12 years old
0
1
2
3 or more
Have you had any of these childcare related problems in the past year? Check problem areas.
Cost of care
Finding temporary care
Finding care for a child with special needs
Location of care
Transportation to and from care
Dependability of care
Scheduling childcare to match work schedule
Other
Would you consider changing your childcare provider to one located inside your child's school?
Yes
No
Possibly
Please leave a comment if you would like to add anything else.
