Childcare Provider Relationship Survey Form
Please complete this survey to help us understand your experiences and satisfaction with your childcare provider. Your feedback is valuable and will remain confidential.
How would you rate your overall satisfaction with your childcare provider?
*
1
2
3
4
5
How well does your childcare provider communicate with you about your child's day and needs?
*
Very Poorly
1
2
3
4
Extremely Well
5
1 is Very Poorly, 5 is Extremely Well
How responsive is your childcare provider to your questions or concerns?
*
Not Responsive
1
2
3
4
Very Responsive
5
1 is Not Responsive, 5 is Very Responsive
How much do you trust your childcare provider with your child?
*
Not at all
1
2
3
4
Completely
5
1 is Not at all, 5 is Completely
Which of the following positive qualities have you observed in your childcare provider? (Select all that apply)
Caring and nurturing
Professional and reliable
Flexible and accommodating
Communicates clearly
Creates a safe environment
Other
How consistent is your childcare provider in following routines or guidelines you’ve set?
*
Rarely Consistent
1
2
3
4
Always Consistent
5
1 is Rarely Consistent, 5 is Always Consistent
How likely are you to recommend your childcare provider to other families?
*
Not Likely
1
2
3
4
Extremely Likely
5
1 is Not Likely, 5 is Extremely Likely
What is the primary way you communicate with your childcare provider?
In person
Text message
Phone call
Email
Written notes
Other
Have you experienced any challenges or concerns with your childcare provider?
No, everything has been positive
Yes, minor concerns
Yes, significant concerns
Please share any additional comments or suggestions about your experience.
Submit Survey
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