1. Are you currently in need of childcare?

Yes

No

2. Do you already have childcare?

Yes (Please explain in the box below who provides childcare for you)

No

3. If a daycare were to open in MacGregor, what hours of operation would work best for your family?

7:30-5:30

7:00-7:00

Other (Specify Below)

4. If a daycare were to open in MacGregor, what days of the week would you be in need of childcare?

Full time (e.g., Mon-Fri)

Part time (e.g., Mon-Wed-Fri or Tues-Thurs)

Other (Specify Below)

5. What are the primary ages of your children that would attend this daycare?

Check all that apply.

0-1

2-3

4-5

6+

7. Would you expect meals to be provided by the daycare?

Yes

No (i.e., you will provide a meal to send with your child)

8. Are there any adaptations specific to your child that we would need to account for?

A child with specific adaptations may need additional support physically, behaviourally, cognitively or emotionally.

Yes (Please specify if you are comfortable doing so)

No

9. Would you be interested in an employment position at the daycare?

Yes (Please leave contact information in the box below)

No

10. Would you be interested in attending a community roundtable discussion on the future North Norfolk Childcare Centre?

Yes (Please leave contact information in the box below)

No