Childcare Exit Survey
We value your feedback. Please help us improve by sharing your experience as your child leaves our program.
Parent/Guardian Full Name
*
First Name
Last Name
Child's Full Name
*
First Name
Last Name
Best Contact Email
*
example@example.com
Child's Age at Exit
*
What is the main reason for leaving our childcare program?
*
Relocation
Starting school
Dissatisfaction with services
Change in family circumstances
Other (please specify)
How satisfied were you with the following aspects of our childcare program?
*
Rows
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Staff professionalism
1
2
3
4
5
Quality of curriculum/activities
6
7
8
9
10
Cleanliness and safety of facilities
11
12
13
14
15
Communication with parents
16
17
18
19
20
Meals and nutrition
21
22
23
24
25
How likely are you to recommend our childcare program to others?
*
Not likely
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not likely, 10 is Extremely likely
What did you like most about our childcare program?
What could we improve?
Would you consider enrolling your child again in the future or recommending us to others?
Yes
No
Maybe
Please sign below to acknowledge your feedback submission.
*
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