National Network for Child Care's Connections Newsletter
Assessment Instrument title: School Age Child Care
Target Audience: Parents of School Aged Children
Comments about the tool:
Contact who has experience using this assessment instrument:
Karen DeBord
North Carolina State University
(919)515-9147
(919)515-2786 (FAX)
Copyright Access Information
Thank you for your assistance with this very important planning
project!
Please circle the number of the best response for the following
questions. Please answer all of the questions and return the survey
to the school by________________________.
1. Which elementary school serves the area of the county where
you live?
a. School a
b. School b
c. etc. listing rest of schools
2. How many children do you have in school?
a. one
b. two
c. three
d. four
e. five
f. more than five
There is a notion that (PICK A) county needs a before and after
school day care program for children of parents who work. Please
answer since you are part of the essential planning process.
3. Would you enroll your child in a before school child care program
which had a fee?
a. yes (go to question 4)
b. no (go to question 5)
4. What time would you like to be able to bring the child to the
program?
a. before 7am
b. between 7 and 8 am
c. other______________________
5. Do you already have arrangements for your child(ren) for the
hours before school?
a. yes
b. no
6. What would be the limitations of a program like this?
(circle only one answer....if you wish to expand, use the last
section of the questionnaire)
a. fee too high
b. transportation to the program in the mornings
c. my child(ren) capable of caring for self
d. hours of care not suitable
e. staff will be difficult to find
f. there would not be enough community support
g. child care is a private matter for families
h. other________________
i. no limitations
7. Would you enroll your child in an after school child care program
which had a fee?
a. yes (go to question 8)
b. no (go to question 9)
8. What time would you be able to pick-up the child(ren)?
a. before 5 pm
b. between 5 and 6 pm
c. after 6 pm
d. after 7 pm
e. other___________________
9. Do you already have arrangements for your child(ren) after
school?
a. yes
b. no
10. What do you see as the limitations of an after school program?
(Please just select one answer)
a. fee too high
b. Transportation from the program
c. my child(ren) capable of caring for self
d. hours of care not suitable
e. staff will be difficult to find
f. there would not be enough community support
g. child care is a private matter for families
h. other____________________
i. no limitations
11. If you circled yes to questions 3 or 7, please list the ages
of the children for whom you would choose this service. This is
for planning purposes ONLY!!
Children's ages_________________________________
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