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Feedback Survey: Child Care Referral Services

We would like to know if you found care and your opinion of 4C’s referral service.
Your answers will be kept confidential and will help Saginaw Valley Regional 4C
continue to offer quality services to clients and child care providers.

Please fill out form as completely as possible. * indicates a required field.
Click the Send E-Mail button at the bottom of the form when finished.

Sender Information:

* Name:

* Address:

* City:
* State:
* Zip:
* Phone: ###-###-####
Fax: ###-###-####
Best time to call:

Email Address:
How did you find our web site?

Did you find childcare?
Yes Kept Former Still Looking Gave Up Care Not Needed No Suitable Options

Type of Care chosen?
Family Child Care Home Group Home Center Preschool Only School-age Only
Center Aide or Relative Other/Friend None

Quality of Care Chosen? High Fair Poor

Quality of Options on List?
Very Good Good Satisfactory Poor Very Poor N/A

Problems?
Cost Type of Care No Vacancy Schedule Location Quality Other No Problems

Quality of 4C Referral Services?

· Quality of Counseling High Fair Poor

· Quality of Information High Fair Poor

· Received Info in 3 or fewer days 4-5 days More than 5 days

Would You Use The Service Again? yes no

Refer the service to others? yes no

Summary:
Satisfied Want a new search If I need care in the future I will call back

 

We Welcome Your Comments/Suggestions:

If phoning us would be easier for you, please call our Referral Dept. weekdays 8am-5pm or Wed. 7:30am-7:30pm. (989)497-0680 / toll free 1-866-424-4532.

 

We appreciate and thank you for your feedback.


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