Preschool Trial Feedback Survey Form
Share feedback about your child’s preschool trial experience.
Trial date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child’s age group
*
Please Select
Under 2 years
2–3 years
3–4 years
4–5 years
5–6 years
Other age group
Program or class attended
*
Please Select
Half-day preschool
Full-day preschool
Toddler program
Pre-K program
Other program or class
How would you rate the overall trial experience?
*
1
2
3
4
5
How would you rate each part of the trial experience?
*
Rows
Needs improvement
Fair
Good
Very good
Excellent
Welcome from staff
1
2
3
4
5
Activities
6
7
8
9
10
Child engagement
11
12
13
14
15
Communication
16
17
18
19
20
What did your child enjoy most?
What could be improved?
Additional comments
Would you like us to follow up with you?
*
Yes
No
Email address for follow-up
*
example@example.com
Submit feedback
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