Parent Satisfaction Survey

How helpful was the Parent Referral Assistant?

Very Good
Good
Satisfactory
Poor

How accurate/up-to-date was the referral information?

Very Good
Good
Satisfactory
Poor

How helpful were the child care checklists?

Very Good
Good
Satisfactory
Poor

Overall, the service was:

Very Good
Good
Satisfactory
Poor

I would use this service again

Yes
No

If not, please explain:

What other services might the local Child Care Resource & Referral offer to meet your needs?

Assessing the Quality of Child Care (mark all that apply):

The materials provided helped me find satisfactory child care.
The Child Care Aware website was valuable in making my child care decision.
I visited the state licensing Web site before making my child care decision.
I did not need additional information to assess my child’s care.
I would like more information on how to assess my child’s care.

I encountered the following problems while searching for child care (mark all that apply):

Cost of Care
Location (distance is inconvenient)
Poor Quality Care
No Openings Available
Hours of operation were not convenient
Poor Staff Quality
No school transportation available

If no school transportation is available, please provide name of school(s):

Other problems encountered were:

I chose the following type(s) of child care:

Child Care Center
Registered Family Child Care Home
Preschool
Lottery-funded Pre-K
Licensed Group Child Care
School Age Care
Relative
Neighbor
Friend
Other

If you chose another type of child care, please state what type of care you chose:

The child care facility I chose was included on my referral list.

Yes
No

I would rate the quality of the child care I am using as:

Very Good
Good
Fair
Poor
Very Poor