SECTION A - Basic information about your family and childcare needs.
Q1 Home postcode Q2 Your work postcode Q3 Partners work postcode (if applicable) Q4 How many children do you or your partner have, or are responsible for?   0 - 12 months --Click Here--0123   13 - 23 months --Click Here--0123   2 - 3 years --Click Here--0123   4 - 5 years --Click Here--0123   6 - 7 years --Click Here--0123   8 - 10 years --Click Here--0123   11 - 14 years --Click Here--0123   15 - 18 years --Click Here--0123 Q5 Are you currently bringing up children on your own?   --Click Here--YesNo Q6 Do you currently use 'formal' childcare? If no, please only answer Questions 9 & 10, then go to Section C.   --Click Here--YesNo		Q7 If yes to Q6 please feel free to tick all that may apply.   Playgroup Playgroup/Nursery Plus Breakfast Club After School Club Holiday Club I only use my free Early Entitlement Flying Start Childminder Nanny or Au Pair Cylch Meithrin Cylch Meithrin Mwy Creche Day Nursery Other   Other? Please specify Q8 Where is your childcare located? Q9 Is your childcare closer to your home or you/your partners work?   --Click Here--HomeMy WorkMy Partner's Work Q10 Does your child have any of the following? (Please tick all that apply)   Physical Disability Learning Disability Behavioural and/or Emotional Condition Undiagnosed Condition Sensory Impairment (speech, visual or hearing) Autism Other Condition   Other Condition? Please specify Q11 What language is spoken in your home?
SECTION B - Families NOT using FORMAL childcare.
Q12 Which of these reasons best describes why you don't currently use formal childcare? Tick all that apply.   I choose not to use formal childcare My children are too old to need childcare My partner / family / friends look after my children I care for my children at home I cannot affordd to use childcare Childcare is not available at the times needed There is no childcare in the right location There is no childcare I consider to be of sufficient quality There is no childcare suitable for the age of my child There is no childcare that meets the needs of my disabled child There is no suitable English language childcare There is no suitable Welsh language childcare There is no childcare with suitably trained or qualified staff for my needs I do not know about what childcare is available I am currently pregnant or on maternity leave There is no childcare that can meet my child's cultural requirements Childcare is not flexible enough to meet my needs There are no suitable public transport links to access childcare Other   Other reason e.g. Are you returning to work? (Please state)		Q13 If you do not use childcare, do you have plans to use formal childcare in the next 12 months?   --Click Here--YesNoDon't Know Q14 If yes, what kind of childcare might you need?   Full Time Part Time Welsh Language English Language Near Home Near Work Outside usual 8 AM - 6 PM time
If you do not use FORMAL childcare please go to SECTION D SECTION C - Families using FORMAL childcare - Tick all that apply
Q15 What are your main reasons for using childcare?   To allow me to work To allow me to have time for myself To allow me to spend time with family To allow me to study For the development benefits for my child To attend appointments (GP/Job Centre/Interviews) Other   Other: Please specify Q16 Please tell us how much you agree or disagree with each of the following statements   Strongly agree   Agree   Disagree   Strongly Disagree   Not Applicable   a)  The quality of childcare in Flintshire is high.           b)  There is a good choice of childcare in Flintshire           c)  Childcare is available when and where I need it           d)  Childcare meets my disabled child's individual requirements           e)  Childcare offers good value for money           f)  I am happy with childcare in Flintshire           g)  I am satisfied with my term time childcare           h)  I am satisfied with my holiday childcare           i)  Travel or transport to childcare is a problem for me           j)  I know where to find out about childcare and financial support           k)  There is a good choice of Welsh language childcare           l)  There is a good choice of English language childcare           m)  Childcare needs to be available at different times (see below)           n)  Childcare should be more flexible           o)  We need more childcare available at weekends           p)  We need more childcare available overnight           q)  Childcare should be available in a different location (see below)           r)  There should be more inclusive childcare for disabled children           s)  There should be more inclusive childcare for ethnic minority children           t)  Using childcare enables me to access work and/or training           u)  I am using more childcare that I was 3 years ago           v)  In the last year childcare issues have caused me problems at work           w)  In the last year childcare issues have prevented me getting a job or working more hours           x)  In the last year childcare issues have prevented me accessing training or study           Childcare needs to be available at different times (please specify):-   Childcare should be available in a different location (please specify):- Please tell us about how you use formal childcare for your children Q17 Average hours spent in childcare per WEEK in Term Time   Child 1   Child 2   Child 3   Child 4   More Q18 Average hours spent in childcare per WEEK in Holiday Time   Child 1   Child 2   Child 3   Child 4   More Q19 Average cost per WEEK of childcare in Term Time   Child 1   Child 2   Child 3   Child 4   More		Q20 Average cost per WEEK of childcare in Holiday Time   Child 1   Child 2   Child 3   Child 4   More Q21 Childcare is located in Flintshire in Term Time (Yes or No)   Yes   No   Child 1     Child 2     Child 3     Child 4     More   Q22 Childcare is located in Flintshire in Holiday Time (Yes or No)   Yes   No   Child 1     Child 2     Child 3     Child 4     More   Q23 Childcare is Welsh Language Provision in Term Time (Yes or No)   Yes   No   Child 1     Child 2     Child 3     Child 4     More   Q24 Childcare is Welsh Language Provision in Holiday Time (Yes or No)   Yes   No   Child 1     Child 2     Child 3     Child 4     More   Q25 Childcare is English Language Provision in Term Time (Yes or No)   Yes   No   Child 1     Child 2     Child 3     Child 4     More   Q26 Childcare is English Language Provision in Holiday Time (Yes or No)   Yes   No   Child 1     Child 2     Child 3     Child 4     More   Q27 I would prefer my childcare to be delivered in English or Welsh Term Time   English   Welsh   Child 1     Child 2     Child 3     Child 4     More   Q28 I would prefer my childcare to be delivered in English or Welsh Holiday Time   English   Welsh   Child 1     Child 2     Child 3     Child 4     More   Q29 I would prefer my childcare to be delivered in another language - Please state: Q30 Do you take up your free Early Entitlement place?   --Click Here--YesNoN/A Q31 If no, please tell us why you do not take up your child's free early entitlement below - tick all that apply   I don't know about Early Entitlement provision I could not get a place at an Early Entitlement provider My provider does not offer Early Entitlement places No suitable Welsh language provision Flying Start Entitlement for 2 year olds Not eligible Other   Other: Please state Q32 Do you receive any financial support towards the cost of childcare? - tick all that apply   Childcare Vouchers Employer contribution Childcare Element of Working Tax Credit No financial support received I choose not to claim support I am not eligible for financial support I do not know about what is available Other   Other: Please state
SECTION D - Additional Information This information will not be used to identify you but will help us to understand and meet your childcare needs.
Q33 Are you?   --Click Here--MaleFemale Q34 Is your partner?   --Click Here--MaleFemaleDo not have a partner Q35 About you (and your partner, if applicable) please tick all that apply   You   Partner   Working Full Time     Working Part Time     Working Shifts     Working Nights     Working Weekends     Full Time parent/carer     Looking for work     Studying/training     Know about Family Information Service Flintshire     Can speak Welsh     Can understand spoken Welsh     Can write Welsh     Can read Welsh     Foster parent     Have a disability or long term illness   Q36 Please indicate your total monthly 'take home' household income.   --Click Here--£0 - £500£501 - £1,000£1,001 - £1,750£1,751 - £2,750£2,751 - £4,000Over £4,000 What is your ethnic group (please tick)		Q37 White:   --Click Here--EnglishWelsh ScottishNorthern IrishBritish IrishGypsy or Irish travellerOther White: Q38 Mixed/Multiple Groups:   --Click Here--White & Black CaribbeanWhite & Black AfricanWhite & AsianOther Mixed: Q39 Asian or Asian British:   --Click Here--IndianPakistaniBangladeshiChineseOther Asian: Q40 Black/African/Caribbean/black British:   --Click Here--AfricanCaribbeanOther: Q41 Other Ethnic group:   --Click Here--ArabOther: Q42 Where do you prefer to access information about formal childcare?   Flintshire County Council Family Information Service Website www.fisflintshire.co.uk Family Information Service Flintshire School Internet Family & Friends Other   Other (Please state: Q43 Are you a registered carer?   --Click Here--YesNo
Thank you for completing this survey. Should you find any problems submitting please print the form instead and return to:-  Directorate Improvement Unit, Lifelong Learning Directorate, Flintshire County Council, County Hall, Mold, Flintshire. CH7 6ND.