Early Learning Coalition of Duval

Name of person who provided referrals to caller:

Date of customer call:

1. Were your early care and education choices explained to you?

2. Were you told a packet of information was being sent and how to use it to find a provider?

3. What the most important thing you think about when selecting a provider:

quality	location (close to home/work)	family or friends use the center
	provider's hours	cost

4. In your opinion, what is the difference between custodial child care and quality child care?

5. Have you heard about the Guiding Stars of Duval quality rating system?

6. Have you had to transfer your child to a different provider in the past?

If yes, how many times did you do so in the last year

7. Do you receive School Readiness Services?

If NO, go to question 8

(If yes) If your provider was no longer eligible to participate in the school readiness program and you had to transfer your child would you do so if a better center was nearby?

8. Is transportation a concern in getting your child to the providers?

9. Did you choose a provider with the referral list you received from Child Care Resource and Referral?

10. How would you rate the service you received when you called Child Care Resource and Referral?

11. Would you use this referral service again?

Comments or Suggestions of Caller :

Email Address:

Optional:

Caller Name:

Address:

City:

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Phone:

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