Social Skill Builder Customer Survey
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1. Default Section

1. Name

Name Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP:
Country:

2. Email Address

Email Address

3. Profession

Profession Parent/Grandparent

Speech Therapist

Administrator

Educator

Psychologist/Counselor

Therapist

Other

4. How did you hear about Social Skill Builder?

How did you hear about Social Skill Builder? Advertisement

Conference

Referral from parent or professional

Article

Web Search

Mailer

Other

Other (please specify)

5. If you heard about us from a ad/conference, please list publication or conference

If you heard about us from a ad/conference, please list publication or conference

6. What Social Skill Builder Programs are you most interested in or own?

What Social Skill Builder Programs are you most interested in or own? Preschool Playtime

My School Day

My Community

School Rules!

The Birthday Party

7. What age group are you most interested in?

What age group are you most interested in? 0-5 years

5-9 years

10-13 years

13-21 years

adult

8. Did you have any problems installing or running the programs? If so what are they?

Did you have any problems installing or running the programs? If so what are they?

9. Please add any comments you have about the usage or outcomes of using the programs

Please add any comments you have about the usage or outcomes of using the programs

10. Who make decisions on software/materials purchases at your school or workplace? Please provide contact information

Who make decisions on software/materials purchases at your school or workplace? Please provide contact information

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Social Skill Builder Customer SurveyExit this survey >>