SCHOOL-AGE CARE NEEDS QUESTIONNAIRE

Spring 2008

Dear Parents and Guardians,

The Wendell P. Clark Memorial YMCA is exploring the need to provide after-school childcare for area families. If you could please take a moment to fill out this quick on-line questionnaire, we would be very appreciative of your time and assistance.

1. How many children will you have attending school in the fall of 2008?

Kindergarten:

1st Grade:

2nd Grade:

3rd Grade:

4th Grade:

5th Grade:

6th Grade:

7th Grade:

8th Grade:

2. What arrangements have you made for your children after school?

None. They are on their own.

An adult relative watches them.

An older brother or sister watches them.

A neighbor watches them.

They are enrolled in an afterschool child care program.         Non-profit    Commercial    In-home

3. Are you satisfied with the arrangements you have made?

Yes

No

4. If you were to consider an afterschool program, what times would you need the service? (Check all that apply.)

Before school each day

After school each day

On school holidays

During summer vacations

In service days and snow days

5. If you do not utilize child care services, what prevents you from using services? (Check all that apply.)

Cost

Availability

Transportation

Hours of operation

Other (please explain):

6. If you were to consider an afterschool program for your child, what key elements of quality would you look for? (Check all that apply.)

Academic enrichmnet/homework help

Whole-child development (physical, social, academic)

Classes and courses that emphasize skill development

Clubs that emphasize social development

Sports and activities that emphasize physical enrichment

The arts (music, drama, writing, etc.)

Other (please explain):

7. Are you aware of the tax benefits for child care?

Yes

No

8. To help us determine if you would be eligible for public assistance to finance the costs of an afterschool program, please provide the following:

Number of dependents in household:

Total household income:

9. Have you had any of these child care related problems during the past year? (Check all that apply.)

Cost of care

Finding temporary care

Finding care for sick child

Finding care for child with special needs

Location of care

Transportation to/from care

Dependability of care

Quality of care

Scheduling child care to match parental work schedule

10. Would you use child care services if they were available to you through the Clark YMCA?

Yes

No

If you have any comments or suggestions, please feel free to share them with us. We encourage your involvement as we explore ways in which to help serve our community.