CHILD CARE REFERRAL SURVEY from Child Care Choices

The following questions are designed to collect information about your experience with Child Care Choices. 
All the information you provide to us is kept confidential.

Thank you  - your response is very important to us!!

Name:
Phone Number:  
Email Address:  
I know more about choosing quality child care than I did before I spoke to a parent counselor or read the literature and checklists?
Strongly Disagree
Disagree
Did not speak to a parent counselor or read the literature or checklists
Not sure
Agree
Strongly Agree
Overall, how helpful was Child Care Choices in your search for child care?
Not Helpful
Somewhat Helpful
Not Sure
Helpful
Very Helpful
If you received your referral over the internet, please rate the following statements, as they apply to your experience.

a. The website was easy to navigate                
b. The materials on the website were helpful      
c. The information I received met my needs       
d. The information I received was accurate       

If you spoke to a parent counselor, please rate the following statements, as they apply to your experience.

a. I was treated courteously                          
b. The staff understood my needs                   
c. The staff was knowledgeable                      
d. The information I received was accurate      

Would you use our services again?
Yes
No
Maybe
Additional comments...
We welcome any thoughts about how we can improve the services we provide to parents who are searching for child care: