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* 1. Are you currently working or going to school? (check all that apply)

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* 2. Is your spouse/partner currently working or going to school? (check all that apply)

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* 3. How many hours each week do you currently spend in your work/study situation?

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* 4. Does your work/study situation change on a seasonal or other basis?

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* 5. What age group(s) is your child(ren) in? (please select all that apply)

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* 6. I need care for a child with special needs.

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* 7. Do YOU currently need child care for your children?

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* 8. Do you have friends/family/relatives that currently need child care?

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* 9. During an average week, who do you currently access for child care needs? (Please select all that apply)

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* 10. Does this include: (Please select all that apply)

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* 11. Is your child care site located within Sedro-Woolley?

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* 12. Is your child care site located near your work?

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* 13. Has your employment been affected by lack of child care?

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* 14. If yes, in what way?

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* 15. How much are you paying for child care for ONE child?

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* 16. Thinking back to when you were first choosing your child care arrangement for your youngest child, which of the following factors were important in making your decision? (rank in order with 1 being MOST important)

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* 17. Overall, how satisfied are you with your current child care arrangement for your youngest child?

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* 18. Thinking about the current state of your child care arrangement for your youngest child, which of the following factors are you satisfied with?

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* 19. Thinking about the current state of your child care arrangement for your youngest child, which of the following factors are you dissatisfied with?

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* 20. Going off of the previous question, are there any additional factors you would like to expand on?

Please indicate how much you agree or disagree with the following statements as they relate to your current child care arrangement:

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* 21. I am happy with my current child care arrangement.

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* 22. I have trouble affording my current child care service.

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* 23. I have trouble finding care that meets my hours.

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* 24. I have trouble with the location of my care.

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* 25. I have concerns about the environment of my child care service.

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* 26. I need care for my child when they are sick.

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* 27. I need care that is more flexible.

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* 28. I am concerned about the quality of care.

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* 29. I need care that is more consistent.

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* 30. I have concerns about having to use too many different caregivers in a week.

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* 31. Please rank the following child care quality indicators from most important to least important to you:

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* 32. In general, do you think that families in the Sedro-Woolley community have access to adequate child care services?

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* 33. If other child care became available in Sedro-Woolley, would you consider sending your child(ren) to the new site?

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* 34. Please select the category that best fits your demographic heritage, in accordance with the federal Census categories:

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* 35. What language(s) do you primarily speak at home? (select all that apply)

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