Possible Challenges to you and your family.

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The purpose of this survey is to learn more about a variety of issues that affect young children (birth to age 8) and their families in Atlantic County. Survey results will inform plans to address issues that are uncovered and help direct CCYC initiatives. We appreciate your candid feedback about your experience in Atlantic County. Please note your responses are anonymous

YOUR Experience
For each item below, select number that best represents your experience or the experience of a close family member (family members who live in Atlantic County) in the past year using the following scale:
0 = Never an issue, 1 = Rarely an issue, 2 = Sometimes an issue, 3 = Often an issue, n/a = Not applicable

Access to affordable recreational facilities, parks, camps, or after-school programs.

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Access to affordable high quality child care

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Availability of high quality child care near home or work

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Availability of high quality child care when I need it

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Access to affordable housing

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Transportation

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Unemployment, underemployment, the availability of jobs

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Access to healthy food

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Hunger ( food shortage)

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Crime or safety issues

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Discrimination ( Racial,ethnic, sexual orientation pregnacy )

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Alcohol/drug abuse

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Teen Pregnancy

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Family Violence/Domestic Abuse/Child neglect

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Literacy, trouble reading or writing

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Communication in English

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Access to affordable medical care

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Access to mental health services

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Affordable health insurance

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Services/care for children with special needs ( speech, physical, occupation therapies)

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Children with challenging behaviors

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Lack of general parenting support or child development information

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Overweight children, lack of physical activity for children

0 Never

1 Rarely

2 Sometimes

3 Often

4 N/A

Clear selection

Other

What is our greatest concern about raising your child (-ren) and preparing for Kindergarten?

What programs or services would benefit you and your family and /or other families you know?

Do you have any other comments or concerns about your young child or our community?

What zip code do you live in?

What is your gender

Female

Male

Prefer not to say

Clear selection

What ages are the children in your home?

For school age children, what type of after school care do/did you use.

None is needed

Still needed

Center/Head Start/PreK

Family/Friend

Other

Clear selection

Which category does your age fall in

under 21

21-29

30-39

40-49

50-59

60-69

70 or older

Clear selection

What language is spoken at home?

Your race/ethnicity?

Highest level of education

some high school

HS diploma or GED

Some college/technical school ( no degree)

Associate degree

Bachelor degree

Graduate degree

Clear selection

Where does your family/household income fit?

Less than $22,000/yr (less than $1,833/ month)

$22,000 up to $30,000/yr ($1,833-$2,500/ month)

$30,000 up to $40,000/yr ($2,500-$3,333/ month)

$40,000 up to $48,000/yr ($3,333-$4,000/ month)

$48,000 up to $56,000/yr ($4,000-$4,666/ month)

56,000/yr up to 64,000/yr ( 4,666-5,333/month)

$64,000 up to $72,000/yr ($5,333-$6,000/ month)

□ $72,000 or more ($6,000/ month or more)

Clear selection

Submit

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