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* 1. What is your family employment status?

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* 2. Please check the ages of all children/youth in your household who are eligible for CYS:

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* 3. How do you prefer to receive information about CYS services and programs? (check all that apply)

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* 4. Which of our programs have you used in the past year? (check all that apply)

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* 5. If you have not used our programs, what is preventing you from doing so? (check all that apply)

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* 6. How would you rate your satisfaction with the following programs and elements of CYS?

  Excellent Good Average Poor Unacceptable N/A
Parent Central Services
CDC Part-Time, Ederle
CDC Part-Time, Villaggio
CDC Strong Beginnings
CDC Full-Time
School Age Center (SAC)
Youth Center, Villaggio
SKIESUnlimited
Youth Sports & Fitness
School Support Services
Parents' Day/Night Out
Webtrac (online enrollment, payments, reservations)
Caregiving Staff
Front Desk Staff
Management Staff
Program Choices
Program Quality
Registration Process
Facility Safety
Facility Appearance
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