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Childcare Survey

Name:
Phone:
Do you need childcare?
Yes
No
What are you currently doing for childcare?
Family/friend
In-home daycare
KIDS
Out of town childcare
Left workforce/altered working arrangements
Other
Would you be interested in enrolling your child/children in childcare, if available?
Yes
No
On a scale of 1 to 5, 1 being not at all and 5 being significantly, how greatly would a new childcare facility impact your life?
1
2
3
4
5
On a scale of 1 to 5, 1 being not at all and 5 being significant, how great do you feel the need for additional childcare in Kane is?
1
2
3
4
5
Are you interested in working in childcare?
Yes
No
Please add any additional comments regarding childcare here.
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