The purposes of this study of day care services in an Appalachian region were: (1) to examine the families involved in day care so that their criteria used in selecting day care services could be identified, (2) to investigate the attitudes of the families with regard to the day care services available, (3) to determine the relation of day care services to selected variables involving the family unit, and (4) to survey the existing community resources providing day care for school age children (ages 5-12). The first three objectives were emphasized in the first of the research. Subjects for this phase were the families of 247 children (ages 1-6) who were receiving services from two day care centers in Cookeville, Tennessee. Instruments were developed and field tested to measure family attitudes. The fourth objective was stressed in the second phase of the study. Subjects were the directors of before-and after-school day care homes and programs, and the services that they provided. Data revealed that these programs had adequate physical facilities but were lacking in educational equipment. There were not enough of these day care programs to meet the needs of the community. (DP)