Washington County Forms

2. We value your feedback about the Orientation meeting.

4. Presenters*
5. Date*
   Date
7. Was the material presented understandable and helpful in making your decision about licensing?*

   1. Strongly Agree
   2. Agree

   1. Neutral
   2. Disagree

   1. Strongly Disagree
9. Were the presenters knowledgeable about the program?*

   1. Strongly Agree
   2. Agree

   1. Neutral
   2. Disagree

   1. Strongly Disagree
11. Was the material presented clearly?*

    1. Strongly Agree
    2. Agree

    1. Neutral
    2. Disagree

    1. Strongly Disagree
13. Were the presenters receptive and responsive to questions?*

    1. Strongly Agree
    2. Agree

    1. Neutral
    2. Disagree

    1. Strongly Disagree
15. What did you like best about the meeting?
17. How could we improve the class or the orientation process to make it more helpful?
19. After attending the orientation meeting, do you plan to pursue obtaining a family child care license?*

    1. Yes

    1. No

    1. Maybe
21. If no or maybe, what are the barriers that would discourage you from pursuing a license?
23. How did you hear about becoming a child care provider?*

    1. Friend/Relative
    2. Licensor
    3. Mailed Advertisement
    4. Newspaper
    5. Other*
    6. Other Provider

    1. Poster
    2. Radio
    3. Social Media
    4. Think Small
    5. Washington County Website
    6. Workforce Development/CareerForce
25. *If you chose Other, please tell us where:
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

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29. Submit Submit and Print

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