The South Carolina Early Childhood Advisory Council, the United Way Association of South Carolina, and South Carolina First Steps, with the support of the Alliance for Early Success, went directly to parents and caregivers of young children to better understand how the COVID-19 pandemic has impacted their needs, experiences, and attitudes around child care. Representing the voices of 2,431 parents and caregivers from 45 of 46 counties across the state, the Build it Back Better survey offers policymakers, advocates, and stakeholders timely insights into the status of families with children from birth through age five. This report aims to advance and inform data-driven, family-centered solutions to restoring and strengthening our state's early childhood system. (author abstract)