Connecticut Early Childhood Parent Survey
Current Use of Early Education
1. How many young children, by age, live in your household?
1
2
3
4
5
0-2 years
3-5 years
2. Are you currently on a waiting list for an early care or education program?
3. Which of the following programs did your child/children attend for at least part of the past year?
Please check all that apply.
4. If your child attended an early care or education program, where was it located?
Please check all that apply.
5. If your children attended an early education program, was it:
6. Did you use any of the following subsidy programs to help pay for early education?
Please check all that apply.
7. How much do you currently pay for childcare per month?
Preferences in Early Education
8. If you have ever left an early childhood program, why did you leave?
If you answered "other", please explain.
Your answer
9. How important do you consider the following? Please rank them 1-5.
1 is least important, 5 is most important.
1
2
3
4
5
Education
Social Development
Supportive services (parent education, nutrition, etc)
Location
Fees/ Price
10. In which environment would you prefer to have your child's early education program?
11. In which location would you prefer to have your child's early education program?
12. What schedule would you prefer to have your child in early education?
13. Where do you go for information about early childhood services or programs?
Your answer
Demographic Information
14. Which race/ ethnicity best describes you?
Please choose only one.
15. What is your approximate average household income?
16. How many people currently live in your household?
What is your city, state and zip code?
Example: Windham, CT 6260
Your answer
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