G Director survey with track changes

Attachment G

Director Survey

In the following pages, we will ask questions about your early education and child care program. We will also ask about the physical environment, the parents and families of children enrolled in your program, and the providers you employ.

1. How many children ages 0-5 are currently enrolled in your program? [IF YOUR PROGRAM HAS MORE THAN ONE PROGRAM ONLY REPORT ABOUT THE PROGRAM YOU ARE DIRECTLY RESPONSIBLE FOR. DO NOT INCLUDE CHILDREN THAT ARE ENROLLED IN A KINDERGARTEN PROGRAM.]

________children

2. What are the ages of children you will accept into your program?

[CHECK ALL THAT APPLY]

Less than 6 months

6 months-less than 1 year

1year-less than 2 years

2 years-less than 3 years

3 years-less than 4 years

4 years-less than 5 years

5 years or more

3. Approximately how many of the children in your program belong to each of the following

racial/ethnic groups?

[THE COLUMNS SHOULD ADD TO THE TOTAL ENROLLMENT IN YOUR PROGRAM.]

a. White, not Hispanic or Latino
b. Black or African American, not Hispanic or Latino
c. Hispanic/Latino of any race
d. Two or more races, not Hispanic or Latino
e. Asian, not Hispanic or Latino
f. Native Hawaiian or Other Pacific Islander, not Hispanic or Latino
g. American Indian or Alaska Native, not Hispanic or Latino
Total enrollment (sum of a through g)

4. How many aides or teaching assistants are employed in the program?

_______ aides or teaching assistants

5. How many childcare providers or teachers are employed in the program?

_______ providers or teachers

6. How many family service workers are employed in the program?

_______ family service workers

7. Which of the following methods are used to communicate with families?

[CHECK ONE BOX IN EACH ROW.]

	Yes	No
a. Website
b. Newsletter
c. Calendar
d. Bulletin Boards
e. Email
f. Text message
g. Telephone
h. Parent-teacher conferences
i. In-person discussions

8. Since September has your program given any family information about the following:

[CHECK ONE BOX IN EACH ROW.]

	Yes	No
a. Employment or job training?
b. Food pantries?
c. Women, Infants, and Children (WIC)?
dc. Child care subsidies or vouchers?
ed. Temporary Assistance for Needy Families (TANF)?
ef. Adult education, GED classes, ESL classes, or continuing education?
fg. Housing assistance?
gh. Energy or fuel assistance?
hi. Immigration or legal services?
ij. Domestic violence programs?
jk. Substance abuse programs?
jl. Health insurance?

9. Since September has your program provided referrals for the following services:

[CHECK ONE BOX IN EACH ROW.]

	Yes	No
a. Health screening (medical, dental, vision, hearing, or speech)?
b. Developmental assessments?
c. Psychological counseling services for children?
d. Psychological counseling services for parents?
e. Social services such as housing assistance, food stamps, financial aid, or medical care?

10. Since September has your program offered the following to any family:

[CHECK ONE BOX IN EACH ROW.]

	Yes	No
a. Sick care?
b. Extended hours?
c. Flexibility to drop off early or pick up late as needed?
d. Flexibility to pay for child care services after the payment due date?
e. Help getting transportation to and/or from the care setting?

11. Since September, has your program received funding from any of the following?

[CHECK ALL THAT APPLY.]

State pre-kindergarten

Head Start

Child Care and Development Fund (CCDF)

Title 1

Local or community organizations (e.g. United Way)

Other

12. Do you ask parents to provide you feedback about your program?

[CHECK ONLY ONE BOX.]

Yes

No GO TO QUESTION 15

13. How often do you use the feedback you receive from parents to make changes to your program?

[CHECK ONLY ONE BOX.]

Never

Rarely

Often

Very often

Listed below are some questions about the physical environment of your child care program.

[CHECK ONE BOX IN EACH ROW.]

At your program:	Yes	No
14. Parents can visit the care setting anytime during care hours
15. There are a variety of opportunities for parent involvement, including:
a. Volunteering in program/care activities
b. Bringing in materials such as arts and crafts
c. Parent committee
d. Observing their own children in the care setting
16. Parents are invited to shape the planning of the program
17. The program has suggestion boxes or surveys for family members to give feedback about the program
18. The program offers special activities just for fathers or other male members of the family
19. Written information and materials provided to families are in all languages spoken by families
20. Written information and materials provided to families are at the appropriate literacy level
21. The program provides opportunities for family events
22. There are opportunities for parents to get together
23. The program provides parenting information through:
a. Parenting workshops/classes
b. Bulletin boards
c. Newsletters
d. Resource library with books and/or videos
e. Pamphlets

END: THANK YOU FOR PARTICIPATING IN THIS SURVEY

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