Parent Satisfaction Survey

General Information

Thank you for taking the time to complete the following survey. Your feedback is greatly appreciated.

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* 1. What is your family name? (Optional)

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* 2. School Name:

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* 3. # of Children:

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* 4. Type of Program (Check all that apply):

B & A (Grade 1-6)

Kindergarten

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* 5. How long have you used the program? (Indicate Months & Years)

	0	1	2	3	4	5	6	7	8	9	10	11
Months	Months 0	Months 1	Months 2	Months 3	Months 4	Months 5	Months 6	Months 7	Months 8	Months 9	Months 10	Months 11
Years	Years 0	Years 1	Years 2	Years 3	Years 4	Years 5	Years 6	Years 7	Years 8	Years 9	Years 10	Years 11