Oakridge Preschool and Child Care Survey
This is an assessment of Preschool and Child Care needs of the Oakridge/Westfir community. If you have parenting responsibilities, we would appreciate your time in helping us assess your needs. Please complete the survey no later than January 27. The questions start first with preschool and end with child care. Please answer all the questions and mark N/A if it does not apply to you. Thank you for assisting in this effort.
Would you utilize preschool or child care services if available in Oakridge? If yes, please complete the survey.
Yes
No
Preschool
Child Care
Preschool: Are you currently using preschool services? If yes, please identify the type of services you use based on age range.
Preschool: Please mark the time you need preschool. (mark all that apply)
Preschool: If you are currently utilizing preschool please mark the location/type. (mark all that apply)
Preschool: If you are in need of and do not utilize preschool services, what prevents you from using services? (mark all that apply)
Preschool: How many children do you have in each of the following age groups for preschool only?
1
2
3
4
5
0-3
4
5
Preschool: Please check one in each column for the type of preschool you USE and the type you PREFER.
Currently Use
Prefer
Stay-at-home parent
Relative's home
In home with non-relative
Non-relative's home
Preschool center outside of Oakridge
Combination of preschool as needed
Currently searching for preschool
EC Cares
Head Start
Early Head Start
Other Preschool Center
Preschool: Please check the amount you consider reasonable to pay for preschool PER MONTH/PER CHILD during the regular school year.
Child Care: Are you currently using child care services? If yes, please identify the type of services you use based on age range.
Child Care: Please mark the time you need child care. (mark all that apply)
Child Care: Please mark the location/type of care you are currently utilizing (mark all that apply)
Child Care: If you have a need and do not utilize child care services, what prevents you from using services? (mark all that apply)
Child Care: How many children do you have in each of the following age groups for child care only?
1
2
3
4
5
Planning or Expecting Children
0-4 years old
5-8 years old
9-12 years old
13-15 years old
Child Care: Please check one in each column for the type of child care you USE and the type you PREFER.
Currently Use
Prefer
Stay-at-home parent
Relative's home
In home with non-relative
Non-relative's home
Child care center
Combination of care as needed
Currently searching for care
After School Program
Child Care: Please check the days you need child care. (mark all that apply)
Child Care: Please check the times you need school-age child care. (mark all that apply)
Child Care: Please check the amount you consider reasonable to pay for child care PER MONTH/PER CHILD during the regular school year. (check only one)
Child Care: Have you had any of these child care related problems during the past year? (mark all that apply)
Comments:
Your answer
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