Personal Information (optional)

First Name		MI		Last Name
Phone #

1. When you contacted the Resource Development Center were you looking for names of child care providers, preschools and/or school age programs?

YesNo

a. Did the RDC staff make it clear to you that the RDC refers but does not recommend, screen or approve providers in any way?

Yes

No

b. Did you use one of the providers referred to you by the RDC?

Yes

No

Not Yet

c. If not, why not?				d. If no, what did you do?
	No openings				Found another paid provider
	Hours incompatible with work hours				Found a friend or relative to provide care for a fee
	Location				Found a friend or relative to provide care for no fee
	Cost				Changed my work or school plans
	Quality
	Transportation
	Other				Other

2. In addition to referrals, RDCs provide information to parents

a. Did you receive information about selecting high quality child care from your RDC?

Yes

No

b. Did the information you received increase your knowledge about quality child care?

Yes

No

3. In addition, RDCs provide information to parents about financial resources.

Yes

No

b. Did the information your received increase your knowledge about available child care scholarships or subsidies?

Yes

No

c. Are you currently receiving financial help for child care through a voucher, ASPIRE, or subsidized slots (Tittle XX)?

Yes

No

d. If you answered no, please select one of the following:

	Did not apply
	Over the eligibility requirements
	Currently on the RDC waiting list
	Other

4. How long did it take from the time you left your request with the RDC staff, until you received the information you requested?

	An hour or less
	Less than 24 hours
	1 to 2 days
	3 days to 1 week
	More than a week
	Do not remember

5. How would you rate the quality of the RDC services you received in the following ways?

	Low			High
a. The ease with which you were able to find the RDC's phone number or email address
b. How promptly your calls were returned
c. How coureously you were treated
d. How well the staff understood your needs
e. How knowledgeable the staff was
f. How accurate the information you received was

6. Is there anything else you would like to tell us about your experience?