Name:
Email Address:
Phone Number:
What do you like best about childcare?
What do you like least about your Childcare?
Please rate the staff?
1
2
3
4
5
6
7
8
9
10+
Please rate the facilities:
1
2
3
4
5
6
7
8
9
10+
Please rate the activities:
1
2
3
4
5
6
7
8
9
10+
Please rate the personal attention you feel your child receives in childcare:
Please rate the monetary value:
Low
Normal
OK
High
Too High
Please describe ACW to others:
Will you allow the information on this form to be published on the web for others to view?
Yes
No
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