A survey was fielded to better understand the barriers families face when accessing services and supports in order to inform policy and programs in Vermont’s early childhood systems (prenatal to age 8). This report provides an in-depth analysis of how well these services are working for families, the challenges they face, and what Vermont is doing well for young families. The Early Childhood Family Needs Assessment was led by the Families and Communities Committee and supported by the Building Bright Futures State Advisory Council Network and the Vermont Integration Prenatal to 3 (VIP-3) grant.