
Child Care Needs Assessment 3
Needs Assessment: School Aged Child Care Program
National Network for Child Care's Connections Newsletter
Copyright Access Information
School Age Child Care
A survey to determine your community needs for a school age child care program
Social Survey Research Unit
University of Idaho
College of Agriculture
Q-1. Please indicate your current arrangements for care of your elementary school children before and after school. (Please circle the number of your response in each column.)
| |
Before School |
After School |
| Parent is home |
1 |
1 |
| Older child is home |
2 |
2 |
| Relative is home |
3 |
3 |
| Go to friend/neighbor's home |
4 |
4 |
| Paid sitter comes to home |
5 |
5 |
| Child(ren) goes to day care center |
6 |
6 |
| Child(ren) cares for self |
7 |
7 |
| Other, describe |
8 |
8 |
Q-2. How satisfied are you and your children with these arrangements? (Circle the number of your response.)
| |
Very Satisfied |
Somewhat Satisfied |
Somewhat Dissatisfied |
Very Dissatisfied |
| Parents (you) |
1 |
2 |
3 |
4 |
| Children |
1 |
2 |
3 |
4 |
Q-3. If an organized, supervised school age child care program was started in your community how often might you use it? (Circle the number of your response.)
| |
Frequently |
Occasionally |
Never |
| On weekdays |
1 |
2 |
3 |
| On weekends |
1 |
2 |
3 |
| During school in-service and paren/teacher days |
1 |
2 |
3 |
| During school holidays |
1 |
2 |
3 |
| During summer months |
1 |
2 |
2 |
Q-4. What hours would you need to have a school age program operate? Write in the time your child would arrive at and depart from the site.
| |
AM |
PM |
| Time of arrival |
|
|
| Time of departure |
|
|
Q-5. Please indicate how important each of the following features would be in deciding whether to use a program before or after school for your children. (Circle the number of your response.)
| |
Very Important |
Somewhat Important |
Slightly Important |
Not Important |
| A. Types of activities |
1 |
2 |
3 |
4 |
| B. Quality of the program |
1 |
2 |
3 |
4 |
| C. Transportation |
1 |
2 |
3 |
4 |
| D. Cost of program |
1 |
2 |
3 |
4 |
| E. Other, describe |
1 |
2 |
3 |
4 |
Q-6. Of the items listed above choose the most important factor in whether or not to use such a program. (Write the letter in the box below).
Most Important Factor
Q-7. What is the most you could pay an hour for each child? Check your response.
___ .50/hour
___ .75/hour
___ 1.00/hour
___ 1.25/hour
___ 1.50/hour
___ 1.75/hour
___ 2.00/hour
___ 2.25/hour
___ 2.50/hour
Q-8. Below is a list of activities that could be offered in after school programs. Circle the five activities you would most like to see offered in your program.
1. Homework/tutoring
2. Cooking/home skills
3. Money management
4. Community service
5. Self development
6. Activity exercise
7. Health/safety
8. Music
9. Field trips
10. Fun sports
11. Arts/crafts
12. Free play
13. Science
14. Reading
15. Dance
16. Drama
17. Nature study
18. Environmental awareness
19. Other (specify)
Q - 9. Please rate the following as they relate to your child's PRIOR child care arrangement. (Circle the number of your response).
| |
Poor |
Fair |
Good |
Excellent |
| Health/safety conditions |
1 |
2 |
3 |
4 |
| Quality of educational activities |
1 |
2 |
3 |
4 |
| Quality of recreational activities |
1 |
2 |
3 |
4 |
| Convenience of location |
1 |
2 |
3 |
4 |
| Hours of operation |
1 |
2 |
3 |
4 |
Finally, we would like some information about you for statistical purposes.
Q-10. What is your gender? (Circle the number of your response)
1 female
2 male
Q-11. What is your age? (Circle the number of your response)
1 Less than 20 years
2 21--30 years
3 31--40 years
4 41--50 years
5 51 or more years
Q-12. What is the highest level of education of you and your spouse? (Circle the number of your response in each column.)
| |
Yourself |
Spouse |
| Less than high school graduate |
1 |
1 |
| High school graduate |
2 |
2 |
| Some college or vocational school |
3 |
3 |
| College graduate |
4 |
4 |
| Advanced college degree |
5 |
5 |
Q-13. What is your household structure? (Circle the number of your response)
1 Single parent
2 Both parents in home
3 Step parent
4 Multiple family home (shared with friend or relative)
5 Other
Q-14. Please indicate how many children you have in each of the following grade levels living in your home.
Number of Children
___ PRE-SCHOOL
___ KINDERGARTEN
___ GRADE 1
___ GRADE 2
___ GRADE 3
___ GRADE 4
___ GRADE 5
___ GRADE 6
___ JUNIOR HIGH
___ HIGH SCHOOL
Q-15. What is your ethnic background? (Circle the number of your response.)
1 American Indian
2 Asian
3 Hispanic
4 Afro American
5 Caucasian
6 Other (Please specify )
Q-16. Please indicate the employment status of those adults living in your home. (Circle the number of your response)
Employment status outside home
| |
Full-time |
Part-time |
Not Employed |
| Female provider |
1 |
2 |
3 |
| Male provider |
1 |
2 |
3 |
| Other providers |
1 |
2 |
3 |
Q-17. What was your total family income before taxes in 1991? (Circle the number of your response.)
1 Less than $10,000
2 $10,000--$19,999
3 $20,000--$29,000
4 $30,000--$39,000
5 $40,000--$49,000
6 $50,000--$74,999
7 $75,000 or more
Is there anything else you would like to tell us about your school age child care needs?
Your Comments:
Thank You For Your Assistance!
Evaluation Tools Page
DOCUMENT USE/COPYRIGHT
National Network for Child Care - NNCC. Part of CYFERNET, the National Extension Service
Children Youth and Family Educational Research Network. Permission is granted to reproduce
these materials in whole or in part for educational purposes only (not for profit beyond the cost of
reproduction) provided that the author and Network receive acknowledgment and this notice is
included:
FORMAT AVAILABLE:: Internet
DOCUMENT REVIEW:: Level 3 - National Peer Review
DOCUMENT SIZE:: 30K or 4 pages
ENTRY DATE:: April 1998
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