Child Care Partnerships 

Referral Survey

*This survey is strictly for people who have used our child care referral program by filling out a child care need form.  If you send this to us, please put your name at the top so that we can better serve you.  Surveys with no names will not be counted.

Dear _________________________________:

Thank you for using Child Care Partnership’s referral service on _________, 2004.  We hope that your experience with us was a positive one and we were able to help you find quality child care. We are constantly looking for ways to improve our referral service and look to you, a concerned and caring parent for information. Please take a moment and complete the following questionnaire. Your immediate response will help us improve services to the Tri-county area. Thank you for your response.  Please return to: 901 N. Benton Helena, MT 59601.

1. Were you able to find care from the referral packet?    ______ Yes              ______ No             

                I chose one of the following types of child care: ____ Family     ____Group  ____Center            

Quality of care: _____ Excellent  ____ Good  ____ Satisfactory  ____ Unsatisfactory    

2.  Please check possible problems you encountered while searching for child care.

                ____No openings    ____No extended hours       ____No infant care

                ____Ended up not needing child care                   ____Schedule conflicts

                ____Cost of child care                                            ____Type of care                  

                ____ Did not like quality of facility                      ____Learned of from another source   

3.  Parent comments:              

                    ____Need more information                             ____Need more information on providers                          

   ____More evaluations of facilities                   ____Not enough of a type of care         

   ____Low quality in facilities                             ____Too much information   

                ____Facilities unsanitary                                     ____Other

4.  Please rate the overall quality of the referral.             

                ____Excellent      ____Good      ____Satisfactory     ____Unsatisfactory

            ____Other, please explain:_______________________________________               

5.  Were the consumer education materials you received: 

                ____Excellent      ____Good     ____Satisfactory     ____Unsatisfactory                               

    ____Other, please explain________________________________________                      

6.  Was the information accurate? ____Yes ____No  

7.  Licensing questions:               

____Yes, all facilities should be visited      ____No visits         ____Uncertain about visits

____Yes, facilities should have on-going training    ____No, on-going training    ____Uncertain about training       

            ____Yes, facilities with more training should be paid more      ____No, facilities w/training should not be paid more

8.  Will you use our service again?  ____Yes    ____No    ____Not sure

9. Would you like information regarding the services provided by our Family Resource Program?   

    ____ Yes   _____ No

10.Would you like information on upcoming parent trainings hosted by our Family Resource Program?  

    ____ Yes   ____No

11.  Is there any other information that you would have liked to receive?   _____ Yes    _____ No

 Any other comments? _____________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________