1.

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* 1. Please rate the following:

  Excellent Good Fair Poor
Care your child received
Service from agency
Overall experience

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* 2. What are your reasons for no longer using our services?

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* 3. Would you recommend Child Development Dayhomes to other families?

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* 4. Do you have any suggestions how we can better our service to families?

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* 5. What improvements can you suggest for our day home educator?

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* 6. Any other comments, suggestions or ideas?

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* 7. Name (Optional):

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* 8. Phone Number or Email (Optional):

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