Our providers try to provide the best care possible for your child. You can help us evaluate how we are doing by completing this survey. Please feel free to make comments. You do not need to sign your name, unless you would like a personal response to your concerns.

If your child attends more than one day home, please complete one survey per home.

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* 1. Who is your day home provider?

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* 2. How often do your child(ren) attend your day home?

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* 3. Does your provider take time each day to discuss how your child(ren)'s day went?

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* 4. Plans for the activites your child(ren) will be participating in, menus, and general day home information is posted on a daily basis.

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* 5. To the best of your knowledge, plans are carried out as posted.

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* 6. The daily programming allows for a variety of learning areas: art, music, messy play, fine motor, gross motor, etc.

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* 7. Would you recommend your provider to a family member or friend?

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* 8. Please rate your day home in general.

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* 9. Do you feel your day home provider: (please check all that apply)

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* 10. Please leave any comments or suggestions about your day home here.

The following three questions are in regards to Apple Blossom as an agency.

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* 11. Do you feel that phone calls made to the agency are returned in a timely fashion?

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* 12. Do the office staff treat you with respect and courtesy?

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* 13. Do you feel you received enough information regarding the agencies policies and procedures during the duration of your child's care?

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* 14. Please leave your name and number here if you would like a call back regarding this survey. Thank you for your time!

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