Child Care: Education: Child Care Resource and Referral: Web Based Referrals

Child Care Resource and Referral would appreciate a response from you to let us know how successful your child care search has been. Please wait to complete this follow-up form until after you have attempted to locate child care. Thank you for your time in completing this form. Your comments and information are helpful!

Quality of CCR&R services:
Date:
Phone Number:
Full Name:
Address:
City:
State:
Zip:
Month of original referral call:

Decision made:
Type of care selected:
How did you find your child care?
If other, please explain:

What factors did you consider when making your decision? (choose up to three)
Safe and caring environment Convenient location Affordable child care Provider is licensed or registered Small group size	Activities for children Extended hours Experienced provider Educational environment Educational level of provider

Were there any problems encountered? (choose up to three)
None No transportation provided Quality Didn't take subsidy Too expensive	Too far away No openings Clean and safe environment Hours of operation Other
If other, please explain:

The referral list I received was accurate (for example, contact information, schedule).
The referral specialist I spoke with was polite and courteous.
The overall quality of service was helpful.

Did the referral list help you learn more about your child care options?
Did the written materials about child care help you learn more about how to select a child care program?
If no, why?

What is your previous experience with child care?
Parent seeking care for the first time Parent who has experience with child care homes Parent who has experience with child care centers Parent who has experience with both child care homes and child care centers

If needed would you use this referral service again?
If no, why?

What suggestions do you have for improving our service?

CCR&R of Northeast Iowa
Exceptional Persons, Inc.
3675 University Avenue
Waterloo, IA 50701

Ph: (800) 475-0804
E-mail: childcare@episervice.org