Form 0920-1277 CSAW Questionnaire

The Childcare Survey of Activity and Wellness (C-SAW) Pilot Study

Att 3 - CSAW Questionnaire

CSAW Questionnaire

OMB: 0920-1277

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Form approved

OMB No. 0920-XXXX

Exp. Date XX/XX/2020

Childcare Survey of Activity and Wellness (C-SAW)



IMPORTANT:


  • In this survey, we will use the term “Early Care and Education program.” This term represents all of the different types of childcare and early childhood education services such as childcare centers and preschool or pre-kindergarten programs, including Head Start and Early Head Start. We are interested in the ECE program for children ages 0-5 at [center or school name], located at [address].


  • When answering the questions, DO NOT INCLUDE any children in kindergarten or higher grades who also may be served at this program location.


  • If your program serves meals to children up to age 5 not yet in kindergarten, you will need a hardcopy or electronic version of the full menu of foods and beverages served to these children at this program location last week (Monday-Friday or every day the program was open last week).


  • You will need a hardcopy or electronic version of your program’s written guidelines, rules or policies.


  • If you don’t know the answer to a question, please contact the appropriate person to try to get the information. Thanks in advance for doing so!




A. ABOUT THIS EARLY CARE AND EDUCATION PROGRAM



A1. Do children of the following ages attend this early care and education program?

(Mark one box per row)



Yes

No

a. Children less than 1 year of age

b. Children who are 1 year old

c. Children who are 2 years old

d. Children who are 3 to 5 years old and not yet in kindergarten


If responses to Q A1a, A1b, A1c, and A1d all = NO, PROGRAM IS INELIGIBLE. GO TO END OF SURVEY – THANK YOU2.


A2. On a typical day, about how many children who are not yet in kindergarten are cared for in this early care and education program?

Shape1

Number of children




A3. Is this early care and education program located in the same building as a public or private school?


Yes

No



A4. The organization that administers this early care and education program is:

(Mark one box)


For profit

Non-profit

Don’t know



A5. The organization that administers this early care and education program …

(Mark one box)

Administers childcare at a single site

Is a franchise, part of a chain or corporately owned

Administers childcare at multiple sites, but is not a chain or corporately owned

Don’t know



A6. How would you describe the organization that administers this early care and education program?

(Mark all that apply)


Religious organization

Public school or local public education agency (LEA)

Military

Non-military government agency

College or university

Tribal agency

Worksite

Social service or family and youth organization

A business

Other

Shape2

(Specify)




A7. How many days per week is this early care and education program usually open?

Shape3


Number of days open each week


A8. Counting both full-time and part-time positions, how many paid staff (such as paid teachers and teacher’s aides) work in this early care and education program’s classrooms serving children ages 0-5 years but not yet in kindergarten?

Shape4


Total number of paid classroom staff




A9. For children not yet in kindergarten, does this early care and education program offer…

(Mark one box per row)



Yes

No

a. Full-day (6 or more hours per day) programming?

b. Half-day (less than 6 hours per day) programming?



A10. The early care and education program is:

(Mark one box)


Licensed as an early care and education program by state, local, or tribal organization

Legally exempt from licensing as an early care and education program

Don’t know



A11. Which of the following sources provide funding for this early care and education program?

(Mark one box per row)



Yes

No

a. Public pre-kindergarten programming?

b. Head Start or Early Head Start?

c. The Child and Adult Care Food Program (also called CACFP or “the food program”) or the National School Lunch Program (NSLP)?

d. XXXXXX or other public childcare subsidies targeted for working and low-income families (including childcare vouchers/certificates, and state contracts)?


NOTE 1

If Question A11 = Yes (CACFP or NSLP is a funding source), GO TO NOTE 2.


A11aa. Have you ever heard of the Child and Adult Care Food Program (also called CACFP or “the food program”)?


Yes GO TO QUESTION A11bb

No GO TO NOTE BEFORE QUESTION A11cc



A11bb. What are the reasons your early care and education program is not participating in CACFP?

(Mark all that apply)


Do not know much about CACFP

The paperwork requirements are too difficult

The nutrition requirements are too difficult to meet

The early care and education program does not have enough eligible children

The meal reimbursement is not enough to cover food expenses

The benefit does not seem worth the effort

Our sponsoring agency or organization does not support participation

Children don’t like the types of foods the program requires

Other

Shape5

(Specify)



NOTE 2

If Question A11d = No (Public childcare subsidies are not a funding source), GO TO QUESTION A12.


A11cc. About what percent of the children enrolled in this early care and education program are funded (completely or partly) by [state program] or another publicly funded childcare subsidy?

(Mark one box)


1% - 25%

26% - 50%

51% - 75%

76% - 100%



A12. Does this early care and education program participate in [state name for QRIS] quality rating improvement system?


Yes

No



A13. Does this early care and education program have accreditation from a national, state-level, and/or local organization (such as NAEYC, Montessori, or a state or local accreditation)?


Yes GO TO QUESTION A13a

No GO TO SECTION B, NUTRITION


A13a. Please enter the name of all national, state, local, or tribal organizations that have accredited this early care and education program:


Shape6



B. NUTRITION



NOTE 3

If this early care and education program ONLY serves children less than 1 year old, GO TO QUESTION B19.



B1. Do children ages 1 to 5 years old eat any meals or snacks at your early care and education program?


Yes GO TO QUESTION B2

No GO TO QUESTION B16



B2. For children ages 1 to 5 years old, when the following meals and snacks are eaten at this early care and education program, who usually provides the food?

(Mark one box per row)


Meal or Snack

Usually brought from home by parents or guardians

Usually provided by program

N/A- Not usually eaten at the program

a. Breakfast

b. Mid-morning snack

c. Lunch

d. Mid-afternoon snack

e. Dinner

f. Evening snack



NOTE 4

If all meals are usually brought from home or not usually eaten at the program, GO TO QUESTION B15.



B3. Not including food brought from home, where are this early care and education program’s meals usually prepared?

(Mark one box)


All meals prepared on-site

All meals prepared off- site (such as catered)

Some meals prepared on-site and some prepared off-site




B4. Who usually develops the menus for this early care and education program?

(Mark all that apply)


Early care and education program director

Onsite food service manager/food manager/cook

A meal planning service or software (such as Minute Menu or procurement software)

A corporate office, sponsor organization, or school food service

A food vendor

Registered dietitian or other credentialed nutrition expert

Other

Shape7

(Specify)



B5. Does this early care and education program have paid staff whose primary job is dedicated to foodservice-related tasks, such as ordering or shopping for food, preparing food, or cooking food?


Yes

No



NOTE 5

Questions B6 to B15 ask how often during the last week different types of foods and beverages were included in meals and snacks provided for children ages 1 to 5 years old in this early care and education program.


IMPORTANT: To answer these questions, you will need to look at the menu of foods and beverages served at this early care and education program last week



B6. How many days was this early care and education program open last week?

Shape8


Number of days open last week




B7. During the last week, how often were children ages 1 to 5 years old served 100% fruit juice, such as apple, grape, or orange juice?

(Mark one box)


Served some days, but not every day

Served every day, usually 1 time per day

Served every day, usually 2 times per day

Served every day, usually 3 or more times per day


Not served at all last week




B8. During the last week, how often were children ages 1 to 5 years old served sweet drinks that are not 100% juice, such as Hi-C, lemonade, Kool-Aid, Capri Sun, Sunny Delight, Hawaiian Punch, sweet teas, sport drinks, or sodas?

(Mark one box)


Served some days, but not every day

Served every day, usually 1 time per day

Served every day, usually 2 times per day

Served every day, usually 3 or more times per day


Not served at all last week



B9. During the last week, how often were children ages 1 to 5 years old served flavored milk, such as chocolate, vanilla, or strawberry?

(Mark one box)


Served some days, but not every day

Served every day, usually 1 time per day

Served every day, usually 2 times per day

Served every day, usually 3 or more times per day


Not served at all last week



B10. During the last week, how often were children ages 1 to 5 years old served fruit, including fresh, canned, dried, and frozen?

(Mark one box)


Served some days, but not every day

Served every day, usually 1 time per day

Served every day, usually 2 times per day

Served every day, usually 3 or more times per day


Not served at all last week



B11. During the last week, how often were children ages 1 to 5 years served vegetables, including fresh, canned, and frozen? Please do not count white potatoes.

(Mark one box)


Served some days, but not every day

Served every day, usually 1 time per day

Served every day, usually 2 times per day

Served every day, usually 3 or more times per day


Not served at all last week




B12. During the last week, how often were children ages 1 to 5 years served fried or pre-fried potatoes, such as French fries, tater tots, and hash browns? Please include types that are sold frozen and then baked in the oven, or prepared from scratch.

(Mark one box)


Served 1 time last week

Served 2 times last week

Served 3 times last week

Served 4 or more times last week


Not served at all last week



B13. During the last week, how often were children ages 1 to 5 years old served fried, pre-fried or breaded meats such as chicken nuggets, chicken strips, fish sticks, or corn dogs? Please include types that are sold frozen and then baked in the oven, or fried meats prepared from scratch.

(Mark one box)


Served 1 time last week

Served 2 times last week

Served 3 times last week

Served 4 or more times last week


Not served at all last week



B14. During the last week, how often were children ages 1 to 5 years old served sweet baked goods such as cakes, pastries, pies, muffins, pop tarts, brownies, donuts, sweet rolls, cupcakes, and cookies? Please do not include graham crackers.

(Mark one box)


Served 1 time last week

Served 2 times last week

Served 3 times last week

Served 4 or more times last week


Not served at all last week



B15. During the last week, how often were children ages 1 to 5 years old served salty snacks such as salted chips, salted crackers, popcorn, or pretzels?

(Mark one box)


Served 1 time last week

Served 2 times last week

Served 3 times last week

Served 4 or more times last week


Not served at all last week



B16. Are parents and guardians allowed to bring in food such as cakes, pastries, brownies, donuts, cupcakes, and cookies for special occasions, such as holidays or birthday celebrations?


Yes

No



B17. How often do you and other staff at this early care and education program see children who do not appear to be getting enough food to eat at home?

(Mark one box)


Never

Rarely

Sometimes

Often

Very often



B18. During the past 12 months, did this early care and education program …

(Mark one box per row)


 

Yes

No

a. Grow fruits, vegetables, and/or herbs (on- or off-site)?

b. Have agriculture or nutrition education activities (e.g., taste tests at the center, cooking demonstrations, farmer visits or field trips to a farm/garden, learning about how food grows or where it comes from)?



NOTE 6

If this early care and education program does not serve children less than 1 year old, GO TO SECTION C, PHYSICAL ACTIVITY.



B19. Is there a space available at this early care and education program for mothers to breastfeed?

Yes GO TO QUESTION B19a

No GO TO SECTION C


B19a. Is that space private?


Yes

No





C. PHYSICAL ACTIVITY



NOTE 7

If this early care and education program only serves children less than 1 year old, GO TO QUESTION C8.



This section asks about physical activity opportunities for children ages 1 to 5 years old. When answering the questions, consider all children, including those with special needs.


  • Physical activity includes the type of play where children are breathing harder and their hearts are beating faster than when at rest.


Examples: dancing, jumping, hopping, running, yoga


  • Physical activity does not include sedentary play, where children might be sitting and playing with blocks, toys, or puzzles.



NOTE 8

If this early care and education program provides ONLY half-day care, GO TO QUESTION C3.



C1. For children ages 1 and 2 years old about how much total time is usually provided each day for physical activity? Please include indoor and outside time, and self-directed and adult led activity.

(Mark one box)


None

Less than 15 minutes

At least 15 minutes, but less than 30 minutes

At least 30 minutes, but less than 1 hour

At least 1 hour, but less than 1.5 hours

At least 1.5 hours, but less than 2 hours

At least 2 hours, but less than 2.5 hours

At least 2.5 hours


We do not have any children ages 1 and 2 years old at this early care and education program




C2. For children ages 3 to 5 years old, about how much total time is usually provided each day for physical activity? Please include indoor and outside time, and self-directed and adult led activity?

(Mark one box)


None

Less than 15 minutes

At least 15 minutes, but less than 30 minutes

At least 30 minutes, but less than 1 hour

At least 1 hour, but less than 1.5 hours

At least 1.5 hours, but less than 2 hours

At least 2 hours, but less than 2.5 hours

At least 2.5 hours


We do not have any children ages 3 to 5 years old at this early care and education program



NOTE 9

If this early care and education program provides ANY full-day care, GO TO QUESTION C5.



C3. For children ages 1 and 2 years old about how much total time is usually provided each day for physical activity? Please include indoor and outside time, and self-directed and adult led activity.

(Mark one box)


None

Less than 15 minutes

At least 15 minutes, but less than 30 minutes

At least 30 minutes, but less than 1 hour

At least 1 hour


We do not have any children ages 1 and 2 years old at this early care and education program



C4. For children ages 3 to 5 years old, about how much total time is usually provided each day for physical activity? Please include indoor and outside time, and self-directed and adult led physical activity.

(Mark one box)


None

Less than 15 minutes

At least 15 minutes, but less than 30 minutes

At least 30 minutes, but less than 1 hour

At least 1 hour


We do not have any children ages 3 to 5 old at this early care and education program




C5. About how many times each day are children ages 1 to 5 years old usually taken outdoors for physical activity?

(Mark one box)


1 time per day

2 times per day

3 or more times per day


We do not have daily scheduled outdoor physical activity time



C6. About how many times each day are children ages 1 and 2 years old provided with an adult-led physical activity, either indoors or outdoors? Examples include dancing, yoga, music and movement, gross motor skills activities, or physically active adult-led games.

(Mark one box)


We do not have any children ages 1 and 2 years old at this early care and education program

1 time per day

2 times per day

3 or more times per day


We do not have daily scheduled adult-led physical activity time



C7. About how many times each day are children ages 3 to 5 years old provided with an adult-led physical activity, either indoors or outdoors? Examples include dancing, music and movement, motor skills activities, or physically active adult-led games.

(Mark one box)


We do not have any children ages 3 to 5 years old at this early care and education program

1 time per day

2 times per day

3 or more times per day


We do not have daily scheduled adult-led physical activity time



NOTE 10

If the early care and education program does not serve children less than 1 year old, GO TO SECTION D, SCREEN TIME.




C8. About how many times each day are infants who are not yet crawling placed on their stomachs for supervised "tummy time"?

(Mark one box)


1 time per day

2 times per day

3 or more times per day


Infants do not have daily tummy time



C9. Does this early care and education program have written guidelines, rules, or policies about the amount of time infants may be placed in devices that constrain movement, such as swings or infant seats?


Yes

No




D. SCREEN TIME



The next few questions ask about screen time while children are at your early care and education program. Screen time includes any time spent watching shows or videos, or playing games (including active video games) on a screen.


Screens include:


  • TV, videos, DVDs

  • Projections on a wall or big screen (e.g. projected from a computer)

  • Desktop, laptop or tablet computers

  • Electronic games

  • Smart phones or other hand held devices


Do not include the following as part of screen time:


  • Using e-books or tablet computers to read children stories

  • Using Smart Boards for interactive instruction

  • Using any video conferencing program (like Skype)

  • Time spent on virtual or remote learning




D1. While at this early care and education program, about how much daily screen time do children under 2 years old usually have? IMPORTANT: Screen time includes any time watching shows or videos, or playing games (including active video games) on a screen.

(Mark one box)


We do not have any children under 2 years old at this early care and education program

We have screen time for this age group, but not every day

Less than 30 minutes per day

More than 30 minutes but less than 60 minutes per day

1-2 hours per day

More than 2 hours per day


We never have screen time for children under 2 years old



D2. While at this early care and education program, about how much time do children ages 2 to 5 years old usually spend in front of any types of screens? IMPORTANT: Screen time includes any time watching shows or videos, or playing games (including active video games) on a screen as defined at the top of this section. Screen time does not include teachers using e-books or tablet computers to read children stories, using Smart Boards for interactive instruction, participating in virtual or remote learning, or connecting with families through Skype or videoconferencing programs.

(Mark one box)


We do not have any children ages 2 to 5 years old at this early care and education program GO TO SECTION E, STAFF TRAINING

We have screen time for this age group, but not every day

Less than 30 minutes per day

More than 30 minutes but less than 60 minutes per day

1-2 hours per day

More than 2 hours per day


We never have screen time for children ages 2 to 5 years old GO TO SECTION E, STAFF TRAINING


D2a. For children ages 2 to 5 years old, what is the purpose (or purposes) of this screen time?

(Mark all that apply)


Educational

Entertainment

Engagement in physical activity

Other

Shape9 (Specify)





E. STAFF TRAINING



This section asks about staff training. Training only includes the following types of activities:


  • classes,

  • workshops,

  • conference sessions, and

  • any activities that count as continuing education hours.



E1. During the past 12 months, have you or your assistant director/curriculum director had training on the following topics?

(Mark one box per row)


Training Topic

Yes

No

a. Child nutrition (other than food safety and food program guidelines)

b. Infant nutrition

c. Supporting breastfeeding or the storage and handling of breast milk

d. Using responsive feeding techniques for children, such as paying attention to when children are hungry, or not pressuring children to clean their plate when full

e. Engaging young children in physical activity



E2. During the past 12 months, what portion of the classroom childcare staff at this early care and education program has had training on each of the following topics?

(Mark one box per row)


Training Topic

All

Most

Some

None

a. Child nutrition (other than food safety and food program guidelines)

b. Infant nutrition

c. Supporting breastfeeding or the storage and handling of breast milk

d. Using responsive feeding techniques for children, such as paying attention to when children are hungry, or not pressuring children to clean their plate when full

e. Engaging young children in physical activity

f. Positive behavioral interventions

g. Child development and approaches to learning

h. Stress management and mental health promotion for providers




F. ACTIVITIES TO IMPROVE THIS EARLY CARE AND EDUCATION PROGRAM’S

NUTRITION AND PHYSICAL ACTIVITY OFFERINGS



F1. During the past 12 months, has this early care and education program …

(Mark one box per row)


Activity

Yes

No

a. Participated in an assessment to review the center’s nutrition and physical activity practices, such as the Nutrition and Physical Activity Self-Assessment for Childcare tool (Go NAPSACC), Let’s Move Checklist,

b. Used a curriculum or lesson series whose focus is healthy eating?

c. Used a curriculum or lesson series whose focus is getting the children moving or increasing physical activity?

d. Earned a special designation for the program’s nutrition and physical activities practices and policies, such as a healthy childcare facility, breastfeeding friendly, or another designation offered in your state?




G. TRACKING DEVELOPMENTAL PROGRESS



G1. During the past 12 months, for what portion of the children did this early care and education program do developmental screening using a validated screening tool (such as the Ages and Stages Questionnaire) within 3 months of program enrollment?

(Mark one box)


All

Most

Some

None



G2. During the past 12 months, for what portion of the children did this early care and education program engage in ongoing assessment of their developmental progress, including cognitive skills, language, social-emotional skills, and physical development?

(Mark one box)


All

Most

Some

None




G3. During the past 12 months, what portion of families received information on a regular basis from this early care and education program about their child’s development and learning? This could be through in-person or telephone conferences or via written communication.

(Mark one box)


All

Most

Some

None




H. DISCIPLINE



H1. During the past 12 months, which of the following has this early care and education program done to deal with child behaviors such as hitting, kicking, biting, tantrums, or disobeying?

(Mark one box for each row)


Disciplinary Action

No

Yes

If Yes, For How Many Children?

a. Asked a parent/caregiver to pick up a child early because of challenging behaviors.

 


b. Sent a child home for one day or more because of challenging behaviors.

 


c. Told a parent/caregiver their child can no longer attend your program because of challenging behaviors.

 





  1. IMPACT OF CORONAVIRUS (COVID-19) ON ECE PROGRAM



This section asks questions about the impact the COVID-19 pandemic has had on this early care and education program. Unless a specific time period is given, please base your responses on the time since the pandemic began (March 2020).


I1. Has this early care and education program closed for one or more weeks because of the COVID-19 pandemic?


Yes

No GO TO QUESTION I2


I1a. For how many weeks, in total, was this early care and education program closed due to the COVID-19 pandemic?


________ Number of weeks



I1b. Did this early care and education program provide any type of food assistance to families when it was closed due to the COVID-19 pandemic?


Yes

No GO TO QUESTION I2


I1c. What types of food assistance did this early care and education program provide? (Mark all that apply)


Pick-up meals or snacks from the program site

Home delivery of meals or snacks

Pick-up groceries from the program site

Home delivery of groceries

Provided food assistance through other method not listed above



I2. We would like to learn how the COVID-19 pandemic impacted this early care and education program’s enrollment. Please provide your best estimate.


I2a. Thinking back to the beginning of last year, approximately how many children not yet in kindergarten were enrolled in January 2020?


_______ Approximate number of children not yet in kindergarten enrolled in January 2020

I2b. Thinking back to the beginning of this year, approximately how many children not yet in kindergarten were enrolled in January 2021?

_______ Approximate number of children not yet in kindergarten enrolled in January 2021



I3. Are the effects of the COVID-19 pandemic currently impacting this early care and education program’s enrollment?


Yes

No



I4. Since March 2020, during the times this early care and education program has been open, have any of the staff or children tested positive for COVID-19?


Yes

No GO TO QUESTION I5

Don’t know GO TO QUESTION I5


I4a. How many children have tested positive for COVID-19?


____________ ENTER “0” IF NO COVID-19 CASES


I4b. How many staff members have tested positive for COVID-19?


____________ ENTER “0” IF NO COVID-19 CASES



I5. Have there been any staff layoffs, furloughs, and/or pay cuts at this early care and education program due to the COVID-19 pandemic?


Yes

No



I6. Has this early care and education program received financial support related to the COVID-19 pandemic from any of the following? (Mark all that apply)


The Paycheck Protection Program (PPP)

Other federal, state or local government support (such as a grant, increased subsidies, or other assistance)

Non-government organization support



I7. Since March 2020, which of the following steps has this early care and education program taken to reduce the risk of exposure to COVID-19? For each step taken, please mark one box to indicate whether it was very difficult, somewhat difficult, or not at all difficult to apply.


Step

Did you take this step?

If you took this step,

how difficult was it to apply?

Very Difficult

Somewhat

Difficult

Not At All Difficult

a. Teachers and other adults wear masks

  • Yes Shape10

  • No




b. Children wear masks

  • Yes Shape11

  • No




c. Keep children six feet apart as much as possible

  • Yes Shape12

  • No




d. Change drop off and pick up procedures

  • Yes Shape13

  • No




e. Keep children in pods or cohorts (no mixing)

  • Yes Shape14

  • No




f. More frequent handwashing

  • Yes Shape15

  • No




g. More frequent cleaning of program areas (classrooms, restrooms, hallways, etc.)

  • Yes Shape16

  • No




h. Reduce class size limits

  • Yes Shape17

  • No




i. Implement remote learning for all or some children

  • Yes Shape18

  • No




j. Take temperature of children and staff at start of day

  • Yes Shape19

  • No




k. Require staff and children to stay home if they have symptoms

  • Yes Shape20

  • No





I8. Since March 2020, which of the following changes to this program’s meal services have you made as a result of the COVID-19 pandemic? (Mark all that apply)

We substituted or replaced certain food items we usually serve at meals or snacks due to changes in food availability or cost (for example, a milk substitution or replacing whole grain foods with non-whole grain foods)

Families required to provide their children with packed meals and snacks

Food from home required to be in prepackaged or disposable packaging

Only pre-prepared foods provided by the program permitted

Food served pre-plated rather than family style

Children seated farther apart to eat

Staff no longer permitted to eat with the children

Purchased more food from local farms


We did not make any changes to the program’s meal services



I9. During 2020, did the COVID-19 pandemic affect your program’s participation in the Child and Adult Care Food Program (CACFP)?


Yes, we left the CACFP in 2020 due to the pandemic and have not returned GO TO QUESTION I9a

Yes, we left the CACFP temporarily (kept contract but stopped receiving reimbursement for meals) due to the pandemic but have resumed participation GO TO QUESTION I9a

No, we continuously participated in CACFP during 2020 GO TO QUESTION I9b

No, we did not participate in CACFP at any time during 2020 GO TO QUESTION I10


I9a. Why did your program permanently or temporarily leave the CACFP? (Mark all that apply)


Shape21

Sponsoring organization issues (e.g. went out of business or other)

Shape22

GO TO QUESTION I10

No longer had enough children to serve meals to

CACFP cost-related issues

Difficulty meeting CACFP requirements

Positive COVID cases

State or local mandates


I9b. What concerns do you have that might make it difficult to maintain participation in CACFP in 2021? (Mark all that apply)


Serving meals that meet CACFP nutrition requirements

Affording food and labor costs associated with CACFP

Monitoring challenges (if a CACFP sponsoring organization)

CACFP paperwork/documentation

Low attendance


No concerns about maintaining CACFP participation in 2021




I10. Which of the following changes have you made to your program’s breastfeeding policies or practices due to the COVID-19 pandemic? (Mark all that apply)


Mothers are no longer allowed to breastfeed on site

Mothers cannot visit during the day to breastfeed

Mothers cannot leave bottles at our site

Mothers have to breastfeed in a different location in our building than before


There have been no changes to breastfeeding policies or practices


We do not currently serve any infants



I11. Has the amount of time children watch screens (TV, DVDs, videos, computers, video games, smart phones or other hand held devices) while at your program increased, decreased, or stayed the same as pre-pandemic levels? Do not include time spent on virtual or remote learning in your response.


Increased

Decreased

Stayed the same



I12. Has the amount of time children go outdoors while at your program increased, decreased, or stayed the same as pre-pandemic levels?


Increased

Decreased

Stayed the same



I13. Has your program’s ability to make referrals for concerns about children’s’ health, development, or other issues increased, decreased, or stayed the same as pre-pandemic levels?


Increased

Decreased

Stayed the same



I14. Has your program’s ability to regularly provide families’ information about their child’s development and learning increased, decreased, or stayed the same as pre-pandemic levels? This could be through a variety of methods including in-person, telephone or web conferences, or via written communication.


Increased

Decreased

Stayed the same





J. WHO COMPLETED THE SURVEY



This section should be completed by the person mostly responsible for completing this survey.


J1. What is your primary role at this early care and education program?

(Mark one box)


An administrative role such as director, program supervisor/manager, assistant director or principal

A teaching role such as teacher, assistant teacher or some other direct service role

Both an administrative role and a teacher/direct service role

Shape23

Other

(Specify)



We would appreciate it if you would provide us with a copy of the menu(s) you used when answering the questions about the foods and beverages served at your early care and education program last week. Please click the “Browse” button below to find your menu file(s). Once found, highlight each file and click “Upload”.


If you do not wish to provide the menu, please click here .




K. FEEDBACK ON PILOT QUESTIONNAIRE



Since this is a pilot study, your responses to the three remaining questions will provide us with feedback that will help us learn about the survey.


K1. How difficult or easy was it for your program to complete this survey?


Very difficult

Somewhat difficult

Somewhat easy

Very easy



K2. How much time did it take you to complete the survey?


Less than 15 minutes

15-30 minutes

30-45 minutes

45-60 minutes

More than one hour




K3. Is there any other feedback you’d like to provide about this survey?








THANK YOU VERY MUCH FOR COMPLETING THIS SURVEY!


THANKYOU2. We are only interested in programs that serve children ages 0 – 5 but not yet in kindergarten. Thank you for your interest in the survey!


According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0920-1277. The time required to complete this information collection is estimated to average less than 40 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

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AuthorMary Dingwall
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File Created2021-01-11

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