Evaluation Form

Dear Parent or Guardian:

Thank you for contacting the Burlington County Community Action Program for child care referrals. To ensure that we are providing the best possible service to our clients, we ask that you take a moment to complete the following satisfaction survey. The information you provide is very important to us and will help in our efforts to provide the highest quality services to the public. Thank you, in advance, for your time and cooperation.

Yours truly,
Child Care Referral Staff

Satisfaction Survey

How did you learn about our services?

Was the Child Care Counselor courteous and helpful? Yes / No

Were the child care referrals useful? Yes / No
If not, why not?

Did you choose a provider from the referrals you were given? Yes / No
If not, why not?

Did you experience any barriers to accessing child care? Yes / No
If yes, what were the barriers?

Were you given information about choosing quality child care? Yes / No

Would you contact the Burlington County Community Action Program in the future for child care information and share this community resource with a friend? Yes / No

FREE HEALTH AND FINANCIAL WORKSHOPS

Employment Opportunities

Check the BCCAP calendar for free Child Care training opportunities!

BCCAP Receives Grant from Target for Healthy Families-TIP Program

FREE Residential Heaters

New Hours at the Dicken's Community Center on Vansciver Parkway in Willingboro! Monday through Friday 9:00 am - 9:00 pm & Saturday 9:00 am - 2:00 pm. STARTING AUGUST 3, 2009

BCCAP's Child Care Quality Makes a Difference Conference "Intentionality: The Key to Building a Bright Future" Friday, October 15, 2010 Featuring Diane Trister Dodge, author of The Creative Curriculum

Evaluation Form

Satisfaction Survey

Additional Comments: