6901 Security Blvd.
Windsor Mill, Maryland 21244
Lots 18 & 19 Security Square Mall
410-265-6800

Please complete the survey to assist us with gaging the current needs for our services. Thank you.

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* 1. What is your occupation?

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* 2. How many children do you have in each of the following age groups:

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* 3. What zip-code do you currently reside?

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* 4. What best describes your current childcare arrangements for 2-5 year olds?

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* 5. If you currently utilize child care services for your child(ren) ages 2-5 years, what days and hours of care would be needed? Check all that apply.

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* 6. Does your current child care arrangement meet your needs?

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* 7. Do you currently receive financial assistance/vouchers for child care?

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* 8. What are the main challenges you face regarding child care? Check all that apply.

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* 9. If it was available, would you be interested in enrolling your child in overnight 24-hour child care?

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* 10. If yes what hours would best suit your needs? Check all that apply

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* 11. Would you be open to answering additional questions or participate in a focus group? If so, please provide your name and e-mail address