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The following is a survey for generating
support for opening a special needs daycare setting.
Please direct responses to
Candlecrazy_1999@yahoo.com or
print out survey and mail back to:
Kathy Leonard, 1121 North Oak,
Rochester MI 48307
"Our mission is to provide
quality child care for children with special needs, to support
parents, and integrate our children in the community to become
the best they can be."
County of Residence in
Michigan ____________________
1) Do you have a child with special needs in your family? If
so, how many?
2) Do you, or have you in the past used your local community
mental health services?
3) If answer 2 is yes, did they adequately meet all your
needs?
4) Do you have problems finding qualified, dependable staff to
care for your child in you home?
5) If there was a special needs daycare to fit the need of
your child would you take advantage of it? Ex: transportation
options, nursing and direct care services?
6) If funding was available through federal programs, state
programs, or grants, would this make the facility more
accessible to all families?
7) developmental functional level of your child?
8) Diagnosis of child?
9) Desired times/days facility would be used
10) Transportation needed? ____ yes ____ No
11) medical treatments?
12) Would this be used for work, school, or pleasure purposes?
13) Please list here any special considerations or comments
you would like to add that isn't listed above.
Thank you for taking the time to fill this out. If you would
like to keep updated of progress please include contact
information.
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