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Supplemental Childcare Program

a childcare facility to care for sick children, if it meant your employees would still come to work? Yes or No? ______________________________________________________________________________________________________________________________EMPLOYEE QUESTIONNAIRE1.Do you have children? If so, how many?a.1b. 2c. 3d. 4 or more2.Are you currently employed? Yes or No3.Do you currently have child care, and if so, do you pay a fee for it? 4. Does your child have any chronic health problems, such as asthma, bronchitis, allergies, etc?5. Have you ever felt pressure from your employer regarding your attendance at work?6. Is your absenteeism due to any of the following reasons:a. Personal illnessb. Illness of a family member (child, parent, spouse, etc)c. Emergencies7. Of the previous selections, which is the more recurring reason for your absences?8. Whether youre paying for childcare now or not, would you be willing to pay a nominal fee towards your childcare if it meant that you could bring your child to the facility even if they were ill? Yes or No__________________________________________________________________________________________________________________________________________...

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