Liverpool City Council regularly conducts an assessment of childcare needs.  This year the council would like to ask employers about the childcare needs of their staff to ensure that childcare services are developed which support businesses in recruiting and retaining staff.

1.	Postcode

2.	Ward (if known)
	--Click Here--Not KnownAllerton and Hunts CrossAnfieldBelle ValeCentralChildwallChurchClubmoorCountyCressingtonCroxtethEvertonFazakerleyGreenbankKensington and FairfieldKirkdaleKnotty AshMossley HillNorris GreenOld SwanPictonPrincess ParkRiversideSpeke GarstonSt MichaelsTuebrook and StoneycroftWarbeckWavertreeWest DerbyWooltonYew Tree

3.	What is the nature of your business?
	--Click Here--Public service sectorEducationRetailTransportManufacturingBanking, Financial services or InsuranceInformation / CommunicationWholesaleConstructionEnergy and WaterBusiness ServicesArts, Entertainment, Recreation, HospitalityOther

	If other, please state

4.	How many employees do you have?

5.	What percentage of your employees have childcare responsibilities?
	0-20%
	21-40%
	41-60%
	61-80%
	81-100%
	Don't know

6.	What percentage of your employees use childcare facilities in Liverpool?
	0-20%
	21-40%
	41-60%
	61-80%
	81-100%
	Don't know

7.	Do your employees work (please tick all that apply)
	Part Time
	Full Time

8.
	Office Hours (9-5)
	Early Mornings
	Evenings
	Overnight
	Weekends

9.	Which of these working patterns cause the most difficulties in arranging childcare?
		Not an issue		Rarely experience problems		Occasionally experience problems		Regularly experience problems		Not applicable
	Full Time
	Part Time
	Office Hours (9-5)
	Early Mornings
	Evenings
	Overnight
	Weekends

10.	Do you offer any of the following to your employees? (Please tick all that apply)
	Support with childcare costs
	Flexible working
	Family friendly working patterns
	Onsite nursery or creche
	Childcare vouchers
	Childcare subsidies
	Employer contracted childcare
	Other (please state)

11.	How often do you experience staff absence due to childcare issues?
	Not an issue
	Rarely experience problems
	Occasionally experience problems
	Regularly experience problems

12.	If you regularly have staff absence due to childcare issues please state any reasons given by employees:
	Lack of appropriate childcare
	Hours of availability of childcare
	Costs of childcare
	Quality of childcare
	Reliability of childcare
	School holidays
	Child sickness
	Other (please state)

13.	Does childcare provision affect your business (for example in recruitment, retention, lateness, days off etc)?  Please describe how your business is affected.

14.	Are you aware of the services available from Liverpool Childcare and Family Information service?
	yes
	no

15.	If you would like to receive further informationon on the Liverpool Childcare and Family Information Service please provide your details below
	Name
	Job Title
	Company
	Address
	Phone number
	Email address

Thank you for participating in the survey

Please click submit to send us your answers