Northland Early Childhood Survey

It is the mission of the Northland Early Childhood Collaborative to have all children ready to learn as they enter Kindergarten and be successful learners throughout their educational years, regardless of any perceived or real barriers such as economic status, culture or level of ability or disability.

We appreciate you taking the time to complete this survey, your opinions and experiences will assist us in improving early childhood services. Your input is important!

Please refrain from taking this survey more than once.

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* 1. What zip code do you live in?

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* 2. How do you best like to receive information regarding early childhood opportunities

	Home	Public	No
Do you have internet access?	Do you have internet access? Home	Do you have internet access? Public	Do you have internet access? No
Email?	Email? Home	Email? Public	Email? No

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* 3. Is anyone in your household currently pregnant?

Yes

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* 4. Number of Children (indicate the number in each category)

Birth-2 years

3-5 years

K-12 years

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* 5. Early Childhood Programming

	None Needed	Still Need	Family Friend (do not choose for early childhood programming)	Center/School Program	In Home Care
What early childhood programming do you use? (not childcare)	What early childhood programming do you use? (not childcare) None Needed	What early childhood programming do you use? (not childcare) Still Need	What early childhood programming do you use? (not childcare) Family Friend (do not choose for early childhood programming)	What early childhood programming do you use? (not childcare) Center/School Program	What early childhood programming do you use? (not childcare) In Home Care
For 3-5yr old children, what type of childcare arrangement do you use?	For 3-5yr old children, what type of childcare arrangement do you use? None Needed	For 3-5yr old children, what type of childcare arrangement do you use? Still Need	For 3-5yr old children, what type of childcare arrangement do you use? Family Friend (do not choose for early childhood programming)	For 3-5yr old children, what type of childcare arrangement do you use? Center/School Program	For 3-5yr old children, what type of childcare arrangement do you use? In Home Care
For K – 12-year-old children what type of after-school program do you use?	For K – 12-year-old children what type of after-school program do you use? None Needed	For K – 12-year-old children what type of after-school program do you use? Still Need	For K – 12-year-old children what type of after-school program do you use? Family Friend (do not choose for early childhood programming)	For K – 12-year-old children what type of after-school program do you use? Center/School Program	For K – 12-year-old children what type of after-school program do you use? In Home Care

Other (please specify)

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* 6. Which category does your age fall into?

Under 21

21-29

30-39

40-49

50-59

60-69

90+

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* 7. What is your highest level of education?

Some High School

HS diploma or GED

Some college/ technical school (no degree)

Associate’s Degree

Bachelor’s Degre

Graduate Degree

Other

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* 8. What is your annual family (household) income?

Less than $22,000

$22-30,000

$30-40,000

$40-48,000

$48-56,000

$56-64,000

$64-72,000

$72,000+

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* 9. How long does it take to get to your place of work, one day, each way

Less than 15 minutes

15-30 minutes

30-60 minutes

60-90 minutes

90+ minutes

I do not work outside the home

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* 10. Location and Transportation

	Yes	No	NA
If your child is involved in childcare or early childhood programming, do you drop them off/pick them up?	If your child is involved in childcare or early childhood programming, do you drop them off/pick them up? Yes	If your child is involved in childcare or early childhood programming, do you drop them off/pick them up? No	If your child is involved in childcare or early childhood programming, do you drop them off/pick them up? NA
If yes, is the location on your way to your workplace?	If yes, is the location on your way to your workplace? Yes	If yes, is the location on your way to your workplace? No	If yes, is the location on your way to your workplace? NA
Is transportation a barrier to your child’s participation in early childhood programming?	Is transportation a barrier to your child’s participation in early childhood programming? Yes	Is transportation a barrier to your child’s participation in early childhood programming? No	Is transportation a barrier to your child’s participation in early childhood programming? NA

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* 11. For each item below, indicate the number that best represents YOUR experience in the past year.

	Never an issue	Rarely an issue	Sometimes an issue	Often an issue	Not sure
Do you have access to childcare?	Do you have access to childcare? Never an issue	Do you have access to childcare? Rarely an issue	Do you have access to childcare? Sometimes an issue	Do you have access to childcare? Often an issue	Do you have access to childcare? Not sure
Is it affordable?	Is it affordable? Never an issue	Is it affordable? Rarely an issue	Is it affordable? Sometimes an issue	Is it affordable? Often an issue	Is it affordable? Not sure
Availability of high-quality child care near home or work	Availability of high-quality child care near home or work Never an issue	Availability of high-quality child care near home or work Rarely an issue	Availability of high-quality child care near home or work Sometimes an issue	Availability of high-quality child care near home or work Often an issue	Availability of high-quality child care near home or work Not sure
Access to services for children with disabilities or special needs	Access to services for children with disabilities or special needs Never an issue	Access to services for children with disabilities or special needs Rarely an issue	Access to services for children with disabilities or special needs Sometimes an issue	Access to services for children with disabilities or special needs Often an issue	Access to services for children with disabilities or special needs Not sure
Access to support services for parenting	Access to support services for parenting Never an issue	Access to support services for parenting Rarely an issue	Access to support services for parenting Sometimes an issue	Access to support services for parenting Often an issue	Access to support services for parenting Not sure

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* 12. What is your greatest concern about raising children?

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* 13. What is your greatest concern about preparing children for Kindergarten

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* 14. What kinds of programs or services would benefit you and your family?

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* 15. Are these programs and services avaiable

Yes

Unsure

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* 16. Do you have any other comments or concerns about early childhood in your community?

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* 17. Would you be willing to serve on an early childhood committee?

Yes

If yes, please provide a name and best way to contact you i.e. phone or email.