Child Care Provider Survey
Please take the following survey about your child care program during the current health crisis.
 
1.

What is your child care program's name?
 

50 characters left.
2.

Is your child care program remaining open at this time?
Yes, the program is remaining open
No, the program is temporarily closing
No, the program is permanently closing
3.

Does your child care program have the capacity to allow an influx of children who need child care? If yes, what ages can you accommodate? 
No
Yes
0-2 years
3-4 years
5+ years
4.

If  yes, how many children could you accommodate?
 

50 characters left.
5.
Are you planning to complete the waiver that was approved through Governor Cuomo and the Office of Children and Family Services that allows providers to care for additional children?
Yes
No
  • Comment:

  • 500 characters left.
6.

What shifts are you able to accommodate during this health crisis?
1st shift
2nd shift
3rd shift
Drop in
  • Comment:

  • 500 characters left.
7.
Are you an inclusive child care program that is able to provide care for children with special needs?
Yes
No
8.
We realize that supplies at this time are limited and may be a barrier for you to provide care.  If we are able to locate help to provide these supplies, what would you need?
 

1000 characters left.
9.
Do you feel your program can offer support or resources to other programs needing assistance with child care? If so, please leave us your contact information.

First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

If you have closed or will be closing (even temporarily) please contact Child Care Resource Network at (716) 877-6666 ext. 3064 so that we can keep up-to-date information available to parents. Thank you for taking the time to assist us as we work on a plan surrounding the current child care need.