Poor
Please tell us how can we do better to service you.
The classroom smells clean ........................................................................
Excellent
Please rank  the following
Good 
The teacher is always friendly ....................................................................
Poor
Good
Excellent
My childs classroom is always decorated and appealing ..........................
Poor
Good
Excellent
Poor
good
Excellent
Poor
good
Excellent
The teacher communicates with me if any problems with my child occurs ....
The classroom is always clean ...................................................................
I rate my son/daughter's teacher to be .......................................................
Poor
Good
Excellent
Poor
good
Excellent
Pick up
Is your child clean when you pick him/her up?...............................................
I feel comfortable with my son/daughters current teacher ...........................
Sometime
All the time 
Never 
Is your childs diaper changed when you pick him/her up?...........................
Never 
Sometime
All the time 
Have you picked up your child with an unchanged diaper?............................
Never 
Sometime
All the time 
When I pick up my child his/her hands are clean? .........................................
Never 
Sometime
All the time 
School needs improvement on the following:
Cleanliness ..............................................................
YES
NO
YES
NO
Teacher/Parent Relationship ....................................
Children care...........................................................
Staffs discipline ......................................................
Director is always friendly .........................................
Directors answer all questions I ask............................
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
Preschool Name 
Child`s Name
Teaching .................................................................
Please help us do better .
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