ITS A CHILD'S WORLD FAMILY DAY HOME AGENCY
PARENT/ DAYHOME SURVEY

Question Title

1. How long have you been with your current Provider?

Less than 6 months

More than 6 months

1-2 yrs

2-3 yrs

More than 3 yrs.

Provider's Name

Question Title

2. Do you feel your provider is attentive to the development of your child?

Rarely

Sometimes

Usually

Always

Provide Comment

Question Title

3. Is the provider's home a place of comfort and safety for your child?

Rarely

Sometimes

Usually

Always

Provide Comment

Question Title

4. Does the provider interact with your child in a positive and caring manner?

Rarely

Sometimes

Usually

Always

Provide Comment

Question Title

5. Does the provider communicate to you on a daily basis about your child's day?

Rarely

Sometimes

Usually

Always

Provide Comment

ITS A CHILD'S WORLD FAMILY DAY HOME AGENCY
PARENT/ DAYHOME SURVEY

Question Title

1. How long have you been with your current Provider?

Question Title

2. Do you feel your provider is attentive to the development of your child?

Question Title

3. Is the provider's home a place of comfort and safety for your child?

Question Title

4. Does the provider interact with your child in a positive and caring manner?

Question Title

5. Does the provider communicate to you on a daily basis about your child's day?

Question Title

6. Do you have any other comments, questions, or concerns in regards to your dayhome?

Question Title

7. Has there been any changes to your personal information such as , phone #, email, work place etc?

Question Title

* 1. How long have you been with your current Provider?

Question Title

* 2. Do you feel your provider is attentive to the development of your child?

Question Title

* 3. Is the provider's home a place of comfort and safety for your child?

Question Title

* 4. Does the provider interact with your child in a positive and caring manner?

Question Title

* 5. Does the provider communicate to you on a daily basis about your child's day?

Question Title

* 6. Do you have any other comments, questions, or concerns in regards to your dayhome?

Question Title

* 7. Has there been any changes to your personal information such as , phone #, email, work place etc?

1. How long have you been with your current Provider?

2. Do you feel your provider is attentive to the development of your child?

3. Is the provider's home a place of comfort and safety for your child?

4. Does the provider interact with your child in a positive and caring manner?

5. Does the provider communicate to you on a daily basis about your child's day?

6. Do you have any other comments, questions, or concerns in regards to your dayhome?

7. Has there been any changes to your personal information such as , phone #, email, work place etc?