Chicago Childcare Collective Feedback Form
This feedback form exists for parents, caretakers, and organizers from partner organizations to give us any constructive criticism, problem, concern, complaint, or encouragement. Feedback can be about specific events or childcare providers or it can be about any larger, ongoing observations. We've created this to open up communication with the many, many communities we partner with in our work.

A few notes about our values around safety:
- We always show up for childcare at least 2 at a time. A ChiChiCo volunteer will never be doing childcare alone
- Our volunteers provide childcare for no more than 3 hours at a time
- As our volunteers are not trained in first aid, CPR, and diaper changing, we do not change diapers, assist with toileting, bottle feed, or provide first aid. We communicate those expectations to parents and organizers ahead of time and only do on-site childcare.
- Children will never be alone with a volunteer behind a closed door. Even when accompanying children to the bathroom, volunteers go in pairs.


Feedback can be left anonymously or with contact information if you would like us to reach out to you. The entries to this form go to the collective's shared gmail account. This is to make sure that any complaints about specific childcare providers can be addressed. Please provide feedback in English or Spanish (which ever is most comfortable for you).

Thank you in advance for taking the time to improve our work!

TRANSLATION

Date and name of the event
Your answer
What was your experience? *
Your answer
Names of childcare providers (if you remember and if relevant)
Your answer
Have you discussed this feedback with organizers from the partner organization (the organization that held the event)? *
Would you be okay with ChiChiCo organizers discussing your experience with organizers from the partner organization? *
Would you like an organizer with ChiChiCo to reach out to you to discuss your experience? *
What's the best way to contact you to discuss?
Your answer
Are there any other steps you need us to take? *
Your answer
Submit
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