Early Childhood Education Experience Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

Name of child:

Date of birth:

YYYY

Please check next to the option that best describes your child’s preschool experience in the school year prior to entering Kindergarten. Select one option only, and indicate hours where applicable. Thank you!

My child did not have any formal early childhood program experience

My child did not have formal early childhood program experience but participated in Coordinated Family and Community Engagement (CFCE) services.

My child did not have formal early childhood program experience but participated in Parent Child Home Program (PCHP) services.

My child attended a Licensed Family Child Care Provider for 20 or fewer hours per week.

My child attended a Licensed Family Child Care Provider for more than 20 hours per week.

My child attended a Center-based program for 20 or fewer hours per week.

My child attended a Center-based program for more than 20 hours per week.

My child attended both a Licensed Family Child Care Provider AND a Center-based program for 20 or fewer hours per week.

My child attended both a Licensed Family Child Care Provider AND a Center-based program for more than 20 hours per week.

Clear selection

Definitions

Coordinated Family and Community Engagement (CFCE) Services: locally based programs serving families with children birth through school age (e.g. parent/child playgroups, parent-child activities).

Parent Child Home Program (PCHP): home visiting model program funded through the Department of Early Education and Care.

Licensed Family Childcare: refers to EEC licensed child care in a group setting in a home. It may include care in the home of a family member, if the provider is both a relative and an EEC licensed child care provider providing care to children from multiple families.

Center-Based Care: refers to care for children in a group setting, including public and private preschools, Head Start, day care centers, and integrated public preschools.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Maynard Public Schools. Report Abuse

Forms