Skip Navigation
acfbanner  
ACF
Department of Health and Human Services 		  
		  Administration for Children and Families
          
ACF Home   |   Services   |   Working with ACF   |   Policy/Planning   |   About ACF   |   ACF News   |   HHS Home

  Questions?  |  Privacy  |  Site Index  |  Contact Us  |  Download Reader™Download Reader  |  Print Print      

Office of Planning, Research & Evaluation (OPRE) skip to primary page content
Advanced
Search

Return to Previous page   

PDF Version, B&W Printable PDF Version of this report


OMB No.: 0970-0143

Expiration Date: 10/31/01

Early Head Start
Questionnaire for
Child Care Providers in Centers

  Self Administered  
 
Please complete this brief questionnaire right away and give it to the observer before she leaves today. Thank you for your help.


 

Public reporting burden for this collection of information is estimated to average 10 minutes per response for the telephone interview and two hours for the observation, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to ACF Reports Clearance Officer, Paperwork Reduction Project (OMB# 0970-0143), Administration for Children and Families, Office of Information Services, 370 L’Enfant Promenade, S.W., Washington, DC 20447. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The OMB number for this project is 0970-0143.

 

PROVIDER NAME: ______________________
DATE: |___|___|
Month
- |___|___|
Day
-19 |___|___|
Year
 
MPR ID #: |___|___|___|___|___|___|___|
PROVIDER ID #: |___|___|___|___|___|___|___|
STAFF ID #:|___|___|
DATA COLLECTOR: |___|___|___|___|
 
ROUND OF DATA COLLECTION:

14 MO. . . . . . . . . . . . . . . . . . . 01
24 MO. . . . . . . . . . . . . . . . . . . 02
36 MO. . . . . . . . . . . . . . . . . . . 03

Conducted for:
Mathematica Policy Research, Inc.
P.O. Box 2393
Princeton, NJ 08543-2393
and
Administration on Children, Youth, and Families
U.S. Department of Health and Human Services

 

COPYRIGHT INFORMATION

Items 20 A-J. PMS. Parental Modernity Scale. Schaefer, Earl and Marianna Edgerton. “Parental and Child Correlates of Parental Modernity.” In I. E. Sigel, Ed., Parental Belief Systems: The Psychological Consequences for Children. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc., 1985.


We’d like to know a bit about you and the training you have.

1. What is your position?
  1. checkbox Lead/Head Teacher
  2. checkbox Assistant Teacher
  3. checkbox Aide/Caregiver
  4. checkbox Volunteer
  5. checkbox

Other - (What is that? __________________________) |___|___|

2. Have you taken any child development or early childhood education courses at a college or university?
  1. checkbox YES
  0. checkbox

NO

3. Have you had any (other) special child care training?
  1. checkbox YES (Fill in A, below)
0. checkbox

NO (Skip to # 4)

A. What was this training?

MARK ALL THAT APPLY

  1. checkbox CHILD DEVELOPMENT ASSOCIATE (CDA) TRAINING
  2. checkbox CHILD CARE TEACHER TRAINING
  3. checkbox NURSE’S TRAINING OR HEALTH COURSES
  4. checkbox TRAINING BY REFERRAL OR GOVERNMENT AGENCY
  5. checkbox CHILD CARE COURSES OR WORKSHOPS
  6. checkbox CHILD DEVELOPMENT OR PSYCHOLOGY COURSES IN COLLEGE
  7. checkbox OTHER TRAINING FOCUSED ON EDUCATION (SUCH AS ELEMENTARY EDUCATION)
  8. checkbox OTHER TRAINING FOCUSED ON SOCIAL SERVICES (SUCH AS SOCIAL WORK)
  9. checkbox

Other - (WHAT? _________________________________) |___|___|

4. What is the highest level of school you have completed?

IF YOU ARE STILL IN SCHOOL OR NO LONGER IN SCHOOL: Please tell us about the
last year of schooling you finished.

MARK ONE

  1. checkbox Some high school
  2. checkbox High school graduate or GED
  3. checkbox Some college courses, but no degree
  4. checkbox Two year college degree
  5. checkbox Four year college degree
  6. checkbox Some graduate school
  7. checkbox

Graduate degree

  A. In what month and year did you complete this schooling?

|___ |___|  19 |___|___|
    Month                 Year

 

5. How many years of professional experience do you have working in a child care setting with children younger than kindergarten?

|___ |___| YEARS |___|___| MONTHS

 

6. How long have you worked in this program?

|___ |___| YEARS |___|___| MONTHS

 

7.

Below are some statements child care providers have made about how they feel about what they are doing. For each statement, please tell me if you strongly disagree, mildly disagree, mildly agree, or strongly agree.

MARK ONE BOX FOR EACH STATEMENT

  Strongly
Agree
Mildly
Disagree
Not
Sure
Mildly
Agree
Strongly
Agree
a. You intend to leave child care in the next 12 months 1 checkbox 2 checkbox 3 checkbox 4 checkbox 5 checkbox
b. You put a lot of effort into your work 1 checkbox 2 checkbox 3 checkbox 4 checkbox 5 checkbox
c. You frequently feel like quitting 1 checkbox 2 checkbox 3 checkbox 4 checkbox 5 checkbox
d. You intend to be a child care provider at least two more years 1 checkbox 2 checkbox 3 checkbox 4 checkbox 5 checkbox
e. You feel committed to providing child care 1 checkbox 2 checkbox 3 checkbox 4 checkbox 5 checkbox
f. You feel stuck in child care due to few other employment opportunities 1 checkbox 2 checkbox 3 checkbox 4 checkbox 5 checkbox

 

8. Please tell us which of the reasons below was a reason for you becoming a child care provider. Put “1" next to your main reason. If more than one of these was a reason for you, please number your other reasons in order (2, 3, 4). Only put numbers next to statements that were reasons for you.
  ___ a. I want to work with children
  ___ b. I want to help mothers who must work outside the home
  ___ c. It is the only job that I feel qualified to do
  ___ d. I received an invitation to join a training program
  ___ e.

Some other reason - What?_________________________________

 

9. Which statement best describes how you view your job as a child care provider? You see child care as . . .
  1. checkbox Your chosen occupation,
  2. checkbox A stepping-stone to work in another field related to child care
  3. checkbox Temporary employment (until a better job is available), or
  4. checkbox

Something else? (Specify)

_________________________________

_________________________________

_________________________________ |___|___|

10. Next we’d like to know about how you feel about training. For each statement, please check one box.

MARK ONE BOX FOR EACH STATEMENT

  Strongly
Agree
Mildly
Disagree
Mildly
Agree
Strongly
Agree
a. Improving my skills as a child care provider is a priority for me 1 checkbox 2 checkbox 3 checkbox 4 checkbox
b. Training sessions typically cover information I already know and are not a good use of my time 1 checkbox 2 checkbox 3 checkbox 4 checkbox
c. I am pretty confident in my ability as a child care provider and see additional training as a low priority 1 checkbox 2 checkbox 3 checkbox 4 checkbox
d. I wish there were more child care training opportunities available to me 1 checkbox 2 checkbox 3 checkbox 4 checkbox
e. I still have a lot to learn about children and teaching before I consider myself a skilled professional 1 checkbox 2 checkbox 3 checkbox 4 checkbox
f. Seeking in-service training in one’s profession is a basic part of being a true “professional” 1 checkbox 2 checkbox 3 checkbox 4 checkbox
g. I don’t like to attend training workshops because they are all alike and have little impact on what I do 1 checkbox 2 checkbox 3 checkbox 4 checkbox
h. Most training for child care providers lacks relevance to their day-to-day responsibilities 1 checkbox 2 checkbox 3 checkbox 4 checkbox
i. Training is a waste when the instructor lacks experience as a child care provider 1 checkbox 2 checkbox 3 checkbox 4 checkbox

 

11. In the last year, how many workshops and conferences did you attend related to your child care program?

|___|___| NUMBER OF WORKSHOPS/CONFERENCES (Fill in 12, below)
  00. checkbox

NONE (Skip to # 13)

12. Based on the content and format of the workshops, conferences or staff training meetings you have attended in the last six months, how likely are you to change what you do in your work? Are you . . .
  1. checkbox Not likely to change,
  2. checkbox Somewhat likely to change, or
  3. checkbox

Very likely to change?

13. What language or languages do you speak?

MARK ALL THAT APPLY

  1. checkbox ENGLISH
  2. checkbox SPANISH
  3. checkbox CREOLE
  4. checkbox MADARIN
  5. checkbox CANTONESE
  6. checkbox JAPANESE
  7. checkbox VIETNAMESE
  8. checkbox Other - (SPECIFY: _________________________________) |___|___|
  9. checkbox

Other - (SPECIFY: _________________________________) |___|___|

14. How many of your own children are cared for in the same child care center as you work?

|___ |___| OWN CHILDREN

  00. checkbox

NONE (Skip to # 15)

 

  A.

In total how much do you pay for child care for your own children each week?

$ |___|___|___|.|___|___|

 

15. What is your hourly salary in this child care center?

$ |___|___|.|___|___|

16. How many hours per week do you work?

|___|___| HOURS

 

17. As part of your employment in this center do you have . . .
  YES NO
A. Educational stipends to cover workshops? 1 checkbox 2 checkbox
B. Retirement/pension plan? 1 checkbox 2 checkbox
C. Life insurance? 1 checkbox 2 checkbox
D. Paid maternity/paternity leave? 1 checkbox 2 checkbox
E. Paid health insurance? 1 checkbox 2 checkbox
F. Dental insurance? 1 checkbox 2 checkbox
G. Paid sick leave? 1 checkbox 2 checkbox
H. Paid holidays? 1 checkbox 2 checkbox
I. Paid vacations? 1 checkbox 2 checkbox

 

18. Are you:
  1. checkbox Male
  2. checkbox

Female

19.

How do you identify your racial and ethnic background?

MARK ONE

1. checkbox WHITE
2. checkbox BLACK/AFRICAN AMERICAN (NON HISPANIC)    
3. checkbox HISPANIC/LATINA arrow ANSWER A arrow  
   
A. IF LATINA/HISPANIC:  Are you . . .

MARK ALL THAT APPLY
1. checkbox Central American,
2. checkbox Cuban,
3. checkbox Puerto Rican,
4. checkbox Mexican,
5. checkbox South American,
6. checkbox Other heritage (What?)
_____________________) |___|___|

 

4.

 

checkbox NATIVE AMERICAN OR ALASKAN NATIVE
5.  
checkbox ASIAN/PACIFIC ISLANDER arrow ANSWER B arrow
B. IF ASIAN/PACIFIC ISLANDER:  Are you . . .

MARK ALL THAT APPLY
checkbox 1. Chinese,
checkbox 2. Hmong,
checkbox 3. Indian,
checkbox 4. Japanese,
checkbox 5. Korean
checkbox 6. Pacific Islander,
checkbox 7. Vietnamese,
checkbox 8. Other heritage (What?)
______________________________) |___|___|

 

6. checkbox OTHER BACKGROUND? (WHAT? _____________________________) |___|___|

 

20.

ITEMS DELETED FROM THIS VERSION TO PROTECT AUTHOR/PUBLISHER COPYRIGHT. SEE PAGE ii FOR FULL CITATION.

 

21.

INTERVIEW CONDUCTED IN:

ENGLISH . . . . . . . . . . . . . . . . . . . 01

SPANISH . . . . . . . . . . . . . . . . . . . 02

OTHER (SPECIFY). . . . . . . . . . . . . .03

_________________________________
|___|___|

Thank you.



 

 

Return to Previous page