Your zipcode

What type of child care provider are you? (Please choose a care type.)

Licensed Family Child Care

Child Care Center

Preschool/Head Start

After-School/Recreation Program

Family, Friend or Neighbor Caregiver (Exempt-Not Licensed by State)

Community Connection for Child Care (CCCC) is publicly funded to provide child development and family services to the community. In order to evaluate our services to parents, providers, and the community, we need feedback from you! Please take a few moments to complete this survey.

All surveys received will be entered to win a Reading Fun Basket!

Please share with us your opinion about CCCC staff and communications by checking the most appropriate rating for each aspect of our service.

CCCC staff is courteous, helpful and supportive on the phone and/or during my visits to the office:

Strongly Agree

Agree

Disagree

Strongly Disagree

Not Applicable

Comments

I receive information and documents from CCCC in a timely manner:

Strongly Agree

Agree

Disagree

Strongly Disagree

Not Applicable

Comments

The information and documents I receive from CCCC are easy to understand:

Strongly Agree

Agree

Disagree

Strongly Disagree

Not Applicable

Comments

My telephone calls are being returned in a timely manner:

Strongly Agree

Agree

Disagree

Strongly Disagree

Not Applicable

Comments

Based on my experience, I grade the overall quality of CCCC services as:

Excellent

Very Good

Average

Fair

Poor

Please share with us some of your experiences as a child care provider.

Based on my fees, I am able to manage my expenses:

Easily

Average

With Difficulty

Not Applicable To Me

Comments

I often get parents seeking care for non-traditional hours (other than 6 a.m. — 6 p.m):

Strongly Agree

Agree

Disagree

Strongly Disagree

Not Applicable

Comments

I currently have a written agreement that parents must sign when they enroll their child.

Yes	No (Please visit CCCC's webpage on creating policies and parent handbooks)

What do you think CCCC could do to assist you and other child care programs?

If you would like to receive the CCCC E-Newsletter each month, please provide your e-mail below:
E-mail address:

If you would like to be in our drawing for the Reading Fun Basket, please provide your:
Name
Phone Number: