Cost of Child Care (birth to 5) in Okaloosa and Walton Counties
Please complete this short 10-minute survey ONLY if you have children ages 5 or younger and live in Okaloosa or Walton County.


Email address *
What is the Zip Code of your residence? (enter 5-digit ZIP code; for example, 00544 or 94305) *
Your answer
In what city/town do you live? (select the most accurate) *
What is your age?
Select all that apply.
What is your current status?
What is the highest form of education you have completed? (select the most accurate answer)
On average, how many hours PER WEEK do you currently spend working?
Your answer
On average, how many hours PER WEEK do you currently spend studying?
Your answer
How many people (including yourself and your children) are in your household? *
How many adults in the household pay for household expense, mortgage, rent, utilities, etc?
How many children ages 5 AND YOUNGER are in your household? *
Select the range that best describes your total household income (include all sources e.g. child support).
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service