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Childcare Needs Assessment

Page One

Southeast Kentucky Community and Technical College is committed to meeting the needs of its students, faculty, staff, and the communities it serves. The purpose of this survey is to assess the specific needs regarding childcare in the College's service region. If you have children between the ages of newborn and 12, please take a few minutes to complete this important survey. Your input is very important to us. You can be assured that you will remain anonymous, and your responses will remain confidential.

Thank You.

3. If childcare was offered on your campus, would you utilize the service? If no, please do not continue the survey.

Yes
No
Maybe, depends on other factors (cost, scheduling facilities, etc.)

4. Are you currently receiving KTAP benefits? *This question is required.

5. Did either of your parents or legal guardian(s), that you received support from up to the age of 18, complete a bachelor's degree (4-year college degree)? *This question is required.

6. What is the age of each child under the age of 13?

Space Cell	Age
Child 1	Age
Child 2	Age
Child 3	Age
Child 4	Age
Child 5	Age

7. Please list any disabilities that your child/children have, or leave blank, if none.

Child 1
Child 2
Child 3
Child 4
Child 5

8. Indicate all type(s) of childcare or programs that you currently use for each child.

Space Cell	Child 1	Child 2	Child 3	Child 4	Child 5
Spouse/partner	Child 1	Child 2	Child 3	Child 4	Child 5
In-home caregiver	Child 1	Child 2	Child 3	Child 4	Child 5
Relative in their home	Child 1	Child 2	Child 3	Child 4	Child 5
Licensed daycare	Child 1	Child 2	Child 3	Child 4	Child 5
After-school program	Child 1	Child 2	Child 3	Child 4	Child 5
Daycare center where you work	Child 1	Child 2	Child 3	Child 4	Child 5
Headstart	Child 1	Child 2	Child 3	Child 4	Child 5
Other	Child 1	Child 2	Child 3	Child 4	Child 5

9. When do your children require childcare? (select all that apply) *This question is required.

Before 7:30 am
All or part of 7:30 am to 6:00 pm
All or part of 6:00 pm to 12:00 midnight
After 12:00 midnight and before 7:30 am
Different hours due to rotating shift
After School
During school closures (holidays, inclement weather, etc.)
Weekends

10. How much do you spend per week on childcare for all children?

I don't spend anything on childcare.
Less than $100 per week
$100 to $200 per week
$200 to 300 per week
More than $300 per week