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Do you live in Delaware and have a child under the age of 12? Please take this 5-10 minute survey. Your responses will be used to support advocacy efforts to improve child care options in Delaware. The survey is confidential and your participation is voluntary. You must be 18 years or older to participate. Questions can be directed to info@rodelde.org.

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* 1. How many children age 12 or younger live with you? Please write the number of children for each age group. If you do not have children in that age group, write 0.

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* 2. What kind of child care does your family use? (Select all that apply).

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* 3. Which county do you live in?

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* 4. Which best describes your household's yearly income?

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* 5. Which language do you mostly speak at home?

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* 6. Does an adult in your family work in any of these industries? (Select all that apply.)

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* 7. Which of these statements are true for you and your family? (Select all that apply.)

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