CYS NEEDS ASSESSMENT

The Camp Zama Child and Youth Services Program, in determining the local needs for children and youth, is conducting a needs assessment.  We request the form be completed by 15 Mar 06.

This assessment addresses not only the child care needs of the military and civilian population, but also such issues as support to readiness during deployments and other installation missions.  As part of the daily childcare needs it addresses the availability of comparable services; cost, quality, and convenience of these services.

Results of the assessment will be used to help formulate plans for changes in the Child and Youth Services Program, whether at the child care facility, Family Child Care Homes, or with other special programs.

This needs assessment does not constitute program registration.  Registration is required prior to your child participating in any of the CYS programs.

Please complete the form below and hit the submit button when finished.  Thank you!

Name:                     
Telephone Number:   
Sponsor:           Military    Please provide Grade/Rank      DoD Civilian    DoD Contractor           

How many children do you have in the following groups?

            Birth to 12 Months                   18 Months - 2 Years   3 - 5 Years         13 - 15 Years    
            12 Months to 18 Months          2 - 3 Years                6 - 12 Years       16 - 18 Years    

How many children receive the following type of child care?

        Attends the installation Child Development Center                       
        Receives care from on-post family child care                               
        Receives care from an on-post babysitter (uncertified)                  
        Receives care from babysitter or relative in own home                  
        Attends off-post child care center, preschool nursery, etc.                            
        Receives care from off-post family child provider or babysitter        
        Requires no child care                                                               
        Requires care not currently available (specify)                                                              
        Attends Boys and Girls Club                                                       
       

Rank your preference for type of child care (1 to 5 with 1 being most preferred)

Army Child Development Center/School Age Program               1    2    3    4    5       
Army Family Child Care Home                                                1    2    3    4    5       
Off-Post Child Development Center                                          1    2    3    4    5       
Off-Post Family Child Care Home                                            1    2    3    4    5       
In-Home Care (Relative or Babysitter)                                      1    2    3    4    5       
School-Age/Latch Key                                                           1    2    3    4    5       

Would your child(ren) attend aN installation Child Development Center if space was Available?            

Yes        No

If yes to item 7, which program(s) would your child(ren) attend?  (Please check all that apply)
Infant Full Day
Infant Hourly
Toddler Full Day
Toddler Hourly
Family Child Care Home
Preschool Full Day
Preschool Part Day
Preschool Hourly
School Age Summer Camp
School Age (Before/After School)
Boys and Girls Club
Middle School Program
Youth Teen Program

IS YOUR CHILD NOW ON THE WAITING LIST TO:

 ATTEND THE CHILD DEVELOPMENT CENTER?   
Yes    No   If no, what is preventing you from using the waiting list?

TO ATTEND A FAMILY CHILD CARE HOME?    Yes    No

TO ATTEND A SCHOOL-AGE SERVICES PROGRAM?    Yes    No

HOW DO YOU RATE YOUR LEVEL OF SATISFACTION WITH EACH OF THE FOLLOWING REGARDING YOUR INSTALLATION CHILD DEVELOPMENT CENTER/FAMILY CHILD CARE HOME, SCHOOL-AGE SERVICES PROGRAM?

                                                                            Very Good          Good            Fair           Poor          Very Poor

General Operation                                                                                                    
Operating Hours                                                                                                        
Quality of Program                                                                                                    
Quality of Staff                                                                                                           
Quality/Adequacy of Facility                                                                                       
Availability of Hourly Care                                                                                           
Availability of Full Day Care                                                                                         
Availability of Part Day Care                                                                                        
Fees Charged                                                                                                              
Other (specify)                                                   

WHAT ARE YOUR REASONS FOR NOT USING ARMY CHILD AND YOUTH SERVICES MORE OFTEN?
Does not apply.  I use child care as often as needed.
Conditions of facility are poor.
Cost is too much.
Child care facility is too far from where I live.
Inadequate facility.
Quality of staff is poor.
Quality of program is poor.
Facility is too crowded.
I work from home and do not need care.
Child care is not available for my needs.  Explain:
Other.  Explain:

ADDITIONAL COMMENTS/EXPLANATIONS: