Survey Questions
In an effort to gather important feedback from our active host families, we ask them to complete the following survey twice a year.
A. General Information
1. What is your family’s last name?
2. What state do you live in?
3. Please choose one of the two options below:
❑ This is our first year using the services of Cultural Care Au Pair
❑ We have used the services of Cultural Care Au Pair in the past as well.
2. What state do you live in?
3. Please choose one of the two options below:
❑ This is our first year using the services of Cultural Care Au Pair
❑ We have used the services of Cultural Care Au Pair in the past as well.
B. Your initial contacts with Cultural Care Au Pair
View the survey results for this section.
Please think back to your initial contacts with Cultural Care Au Pair when your family was first considering participating in the program.
4. We were satisfied with the clarity of the online program information provided by Cultural Care Au Pair
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
5. The initial representatives we contacted at Cultural Care Au Pair clearly explained:
❑ The program rules and regulations.
❑ Our responsibilities as a host family.
❑ Our financial obligations.
6. Overall, the information provided by Cultural Care Au Pair in combination with our initial discussions with Cultural Care Au Pair representatives adequately prepared us to become a host family participant.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
Please think back to your initial contacts with Cultural Care Au Pair when your family was first considering participating in the program.
4. We were satisfied with the clarity of the online program information provided by Cultural Care Au Pair
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
5. The initial representatives we contacted at Cultural Care Au Pair clearly explained:
❑ The program rules and regulations.
❑ Our responsibilities as a host family.
❑ Our financial obligations.
6. Overall, the information provided by Cultural Care Au Pair in combination with our initial discussions with Cultural Care Au Pair representatives adequately prepared us to become a host family participant.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
C. The au pair selection process
View the survey results for this section.
The following questions are related to the process that was used when you selected your most recent au pair. (Note: The "placement manager" is the person who presented you with personalized matches to consider through our exclusive one-to-one placement process.)
7. Our placement manager did a satisfactory job of explaining the au pair selection process and walking our family through the matching options available to us.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
8. Throughout the selection process, our placement manager demonstrated a satisfactory understanding of our family situation and childcare needs.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
9. Our placement manager was an available resource to us and facilitated the matching process for our family so that we were able to find a candidate that met our family situation and needs.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
10. Overall, we were satisfied with the one-to-one personalized au pair selection process.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
The following questions are related to the process that was used when you selected your most recent au pair. (Note: The "placement manager" is the person who presented you with personalized matches to consider through our exclusive one-to-one placement process.)
7. Our placement manager did a satisfactory job of explaining the au pair selection process and walking our family through the matching options available to us.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
8. Throughout the selection process, our placement manager demonstrated a satisfactory understanding of our family situation and childcare needs.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
9. Our placement manager was an available resource to us and facilitated the matching process for our family so that we were able to find a candidate that met our family situation and needs.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
10. Overall, we were satisfied with the one-to-one personalized au pair selection process.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
D. Your au pair
View the survey results for this section.
The following questions are related to the quality of services that you are receiving from your current au pair.
11. The materials we received about our au pair accurately represented his or her:
❑ Personality and background
❑ Childcare experience
12. Our au pair came to our home with the appropriate expectations about his or her responsibilities as an au pair.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
13. We are satisfied with the quality of childcare that our au pair provides.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
14. We are satisfied with how well our au pair follows the rules of our home.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
15. Overall, we are satisfied with our au pair.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
The following questions are related to the quality of services that you are receiving from your current au pair.
11. The materials we received about our au pair accurately represented his or her:
❑ Personality and background
❑ Childcare experience
12. Our au pair came to our home with the appropriate expectations about his or her responsibilities as an au pair.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
13. We are satisfied with the quality of childcare that our au pair provides.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
14. We are satisfied with how well our au pair follows the rules of our home.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
15. Overall, we are satisfied with our au pair.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
E. Support from your local childcare coordinator
View the survey results for this section.
The following questions ask about the services you receive from your local childcare coordinator (LCC). This is the person who met with you prior to your receiving your au pair and then shortly thereafter to orient you and your au pair. The LCC is also responsible for providing you with ongoing support.
16. Our local childcare coordinator is knowledgeable about general program information:
❑ The rules and regulations of Cultural Care Au Pair and U.S. Department of State.
❑ The host family application process.
❑ The au pair selection process.
17. Our local childcare coordinator is knowledgeable about information specific to our community:
❑ Educational opportunities in the community for our au pair.
❑ Driving requirements such as licensing and insurance.
18. Our local childcare coordinator adequately prepared us for our role as a host family.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
19. Our local childcare coordinator makes contact (by phone, email or in person) at least once a month with our family.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
20. Our local childcare coordinator makes contact (by phone, email or in person) at least once a month with our au pair.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
21. Our local childcare coordinator:
❑ Is available when we need to speak with him or her.
❑ Promptly returns our phone calls and/or emails.
❑ Keeps us informed with adequate notice about au pair monthly meetings so that we can plan for our au pair to attend.
22. Overall, we are satisfied with the support provided by our local childcare coordinator.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
The following questions ask about the services you receive from your local childcare coordinator (LCC). This is the person who met with you prior to your receiving your au pair and then shortly thereafter to orient you and your au pair. The LCC is also responsible for providing you with ongoing support.
16. Our local childcare coordinator is knowledgeable about general program information:
❑ The rules and regulations of Cultural Care Au Pair and U.S. Department of State.
❑ The host family application process.
❑ The au pair selection process.
17. Our local childcare coordinator is knowledgeable about information specific to our community:
❑ Educational opportunities in the community for our au pair.
❑ Driving requirements such as licensing and insurance.
18. Our local childcare coordinator adequately prepared us for our role as a host family.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
19. Our local childcare coordinator makes contact (by phone, email or in person) at least once a month with our family.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
20. Our local childcare coordinator makes contact (by phone, email or in person) at least once a month with our au pair.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
21. Our local childcare coordinator:
❑ Is available when we need to speak with him or her.
❑ Promptly returns our phone calls and/or emails.
❑ Keeps us informed with adequate notice about au pair monthly meetings so that we can plan for our au pair to attend.
22. Overall, we are satisfied with the support provided by our local childcare coordinator.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
F. Support from the Cultural Care Au Pair office staff
View the survey results for this section.
The questions in this section ask about thee experience you have when interacting with Cultural Care Au Pair office staff.
23. When we call the Cultural Care Au Pair toll free number to ask a general question (i.e., not to reach a specific person):
❑ My call is answered promptly.
❑ Our questions, problems, or concerns are addressed and resolved in a timely manner.
❑ If we leave a voice message, our call is returned in a timely manner.
24. When we email a specific member of the office staff, we receive a reply in a timely manner.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
25. If we have an issue or concern, we feel comfortable contacting our prorgam director for support/assistance.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
26. In general, when we interact with the Cultural Care Au Pair office, we are treated as a valued customer.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
The questions in this section ask about thee experience you have when interacting with Cultural Care Au Pair office staff.
23. When we call the Cultural Care Au Pair toll free number to ask a general question (i.e., not to reach a specific person):
❑ My call is answered promptly.
❑ Our questions, problems, or concerns are addressed and resolved in a timely manner.
❑ If we leave a voice message, our call is returned in a timely manner.
24. When we email a specific member of the office staff, we receive a reply in a timely manner.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
25. If we have an issue or concern, we feel comfortable contacting our prorgam director for support/assistance.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
26. In general, when we interact with the Cultural Care Au Pair office, we are treated as a valued customer.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
G. Overall evaluation
View the survey results for this section.
27. We are pleased with the choice we made to use the services of Cultural Care Au Pair.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
28. Overall, we are satisfied with the services we have received from Cultural Care Au Pair.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
29. We would recommend the services of Cultural Care Au Pair to other families.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
27. We are pleased with the choice we made to use the services of Cultural Care Au Pair.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
28. Overall, we are satisfied with the services we have received from Cultural Care Au Pair.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
29. We would recommend the services of Cultural Care Au Pair to other families.
❑ Strongly Disagree ❑ Disagree ❑ Partly Disagree/Partly Agree ❑ Agree ❑ Strongly Agree
