Sample Questions for a Questionnaire
We are considering opening a new child care center in your area. We need your help to decide if there is
a need for such a program.
What are the current ages of your children?
____ Under 1 year
____ Between 12 and 18 months
____ Between 18 and 24 months
____ Between 2 and 3 years
____ Between 3 and 4 years
____ Between 4 and 6 years
____ Between 6 and 12 years
Are you currently employed or in job training?
____ Part-time
____ Full-time
____ Not employed or in job training
Do you use child care services? ____
If so, please identify the type of care and the approximate hours per week you use the child
care service.
Type of care Hours per week
Relative or neighbor
Nanny
Family child care home
Group home
Child care center
Before- and after-school center
Have you had difficulty finding child care? ____
Are you satisfied with your current child care arrangements? ____
What factors are important to you in choosing child care?
Distance from home
Distance from work
Cost
Hours of operation
Program structure and philosophy
Qualifications and skills of caregivers
Child's satisfaction with facility
and caregivers
Caregiver-to-child ratio
The availability of financial assistance
Other?
Comments?
Least Important Most Important
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
2-5 Your questionnaire might include questions like these.
Chapter 2 Determining the Need for Child Care
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