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a Child Care Aware® Quality Assured Consumer Education and Referral Service
WE WOULD LOVE TO HEAR ABOUT YOUR EXPERIENCE WITH OUR SERVICES PLEASE TAKE A MOMENT AND LET US KNOW HOW WE ARE HELPING YOU
THANK YOU FOR TAKING OUR SURVEY!!
Complete the form below and click Submit.
1. Were you able to find child care? Yes No
If YES, check what type of care:
Family Child Care Child Care Center Pre-K Program
School-Age Care Summer Camp Other:
If YES, was the facility referred to you by the CCR&R of Gainesville? Yes No
If NO, is your child being cared for by a: Relative Neighbor Friend Other:
How would you describe the quality of the child care you are currently using?
Choose One Very good Good Fair Poor Very poor
Assessing quality child care:
How would you describe your comfort level with assessing the quality of your child’s care BEFORE calling us? Choose One Very comfortable Somewhat comfortable Not at all comfortable AFTER? Choose One Very comfortable Somewhat comfortable Not at all comfortable
How would you describe your comfort level with assessing the quality of your child’s care BEFORE receiving the written materials from the CCR&R? Choose One Very comfortable Somewhat comfortable Not at all comfortable
AFTER? Choose One Very comfortable Somewhat comfortable Not at all comfortable I would like more information on how to assess quality child care *If you would like the CCR&R of Gainesville to contact you, please provide a phone number:
*If you would like more literature on any subject, please provide an address:
2. Did you have any problems with any of the following issues while searching for care? (Check all that apply). Cost of Care Location Poor Quality of Care No openings available
Poor quality of staff Hours/Schedule Other:
3. How would you rate the parent counselor’s consultation? Choose One Very good Good Fair Poor Very poor
Comments:
4. Was the information you received accurate? Yes No
5. Did you use the materials to evaluate child care? Yes No
If no, please explain:
6. How helpful was the printed materials that you received? Choose One Very helpful Helpful Not helpful
7. Would you use the CCR&R of Gainesville again? Yes No
If not, why:
8. What other services might CCR&R offer to meet your child care needs?
9. Are you interested in receiving our free parent newsletter?
Yes No Already Receive It
If YES, Name:
Address:
Other comments:
(survey adapted from QCC)
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