Childcare Needs Assessment for Jay/Livermore Area
Understanding the need for childcare in our greater Franklin community
Sign in to Google to save your progress. Learn more
1.) Do you as a parent or guardian live or work in Jay, Livermore, or Livermore Falls? *
2.) Are you currently looking for childcare in the Jay/Livermore/Livermore Falls region?
Clear selection
3.) Are you, as a parent or guardian, currently enrolled in school?  (High school, adult education, vocational training, community college or university all apply) *
4.) If you're not in school, would having reliable, local childcare impact your decision to return to school? *
5.) If your local adult education center offered a childcare program to return to school, would you enroll? *
Required
6.) If you are currently employed, what days of the week do you typically work? *
Required
7.) What hours/shift do you typically work? *
Required
8.) How many children do have? *
9.) What are the ages of your children? *
Required
10.) Mark any of the following that you have experienced problems with during the past 3 years? *
Required
11.) What type of childcare does your family need? *
Required
12.) Select each item that describes the type of care you are currently using: *
Required
13.) Have you applied for childcare subsidy? *
14.) Are there questions that we did not ask/barriers unidentified on this survey that you'd like to share with us?
15.) If you have ideas about how to make childcare and continuing education more accessible in greater Franklin County we would love to hear from you!  Please enter your name and phone number for a member of our team to reach out to you.
Thank you for completing our childcare needs assessment survey! If you have specific questions or concerns about this survey, please reach out to Spruce Mountain Adult Education at 2O7-897-64O6.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of RSU 73.

Does this form look suspicious? Report