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2012
July
C
Childcare Questionnaire
Childcare Questionnaire
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Hello,
We would like to invite you to participate in our Childcare Survey which focuses on working parents and their choice of childcare.
It will take approximately 2 minutes to complete the questionnaire and your participation in this study is very important for us to study your childcare needs.
Your survey responses will be strictly confidential and data from this research will be coded and reported only in the aggregate. If you have questions at any time about the survey or the procedures, you may contact us at
[email protected]
Please start with the survey now by clicking on the
Continue
button below.
How many children do you have?
1
2
3
4
5
What are their ages?
Child 1
-- Select --
less than 1 year old
1 year old
2 years old
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
above 10 years old
Child 2
-- Select --
less than 1 year old
1 year old
2 years old
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
above 10 years old
Child 3
-- Select --
less than 1 year old
1 year old
2 years old
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
above 10 years old
Child 4
-- Select --
less than 1 year old
1 year old
2 years old
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
above 10 years old
Child 5
-- Select --
less than 1 year old
1 year old
2 years old
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
above 10 years old
For each child, please tick the types of childcare you use presently :
Nursery
Maid
Baby Sitter
Kindergarten
Schooling
Others
Child 1
Child 2
Child 3
Child 4
Child 5
How much do you pay per month for childcare?
Nursery (RM)
Maid (RM)
Baby Sitter (RM)
Kindergarten (RM)
Schooling (RM)
Others (RM)
Child 1
Child 2
Child 3
Child 4
Child 5
Does sending/picking up your children to/from their care facility take up a lot of your daily traveling time?
Yes
No
Would you like to have the option of visiting your children during your break time while at work?
Yes
No
Would you like to have a childcare facility at your work place?
Yes
No
If you answered yes for previous question, please indicate which of your child that you would consider enrolling in this type of facility :
Child 1
Child 2
Child 3
Child 4
Child 5
None
Please rate the existing childcare services that you are currently using?
Poor
Average
Good
Excellent
Maid
Nursery
Kindergarten
Baby Sitter
Others
Personal Information
Your Name
:
Company Name
:
Location
:
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