JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Annual Parent Survey
Sign in to Google
to save your progress.
Learn more
B1: My child and I were provided an orientation to the program that included a visit in the classroom for a period of time that allowed both of us to be comfortable in the new surrounding.
Yes
No
Don't Know
Clear selection
B2: I have been given a copy of the written policies and procedures of the program.
Yes
No
Don't Know
Clear selection
B3: I am permitted access to the program and to my child's classroom during all hours of operation and am made to feel welcome.
Yes
No
Don't Know
Clear selection
B4: The administration provides me with important information about the program on a regular basis.
Yes
No
Don't Know
Clear selection
B5: Staff members communicate with me on an on-going basis about my child's experiences and activities.
Yes
No
Don't Know
Clear selection
B6: My child's teacher works with me to resolve any adjustment issues including transition from one classroom/teacher to another (Check N/A if your child has not had any adjustment or transition difficulties.)
Yes
No
Don't Know
N/A
Clear selection
B7: During scheduled parent conferences, my child's teacher provieds me with information about my child's development and progress and asks for and considers my ideas. (Check N/A if you have not had a parent-teacher conference)
Yes
No
Don't Know
N/A
Clear selection
B8: The Program provides information to help parents better understand their children's development and learning in a variety of ways, such as meetings, workshops, articles, etc.
Yes
No
Don't know
Clear selection
B10: Family members are given opportunities to use their skills and talents to contribute to the program.
Yes
No
Don't Know
Clear selection
B11: Parents are given opportunities to share their feedback about the program through on-going suggestions and annual written evaluations.
Yes
No
Don't Know
Clear selection
C3: My child is released only to persons I authorized in writing.
Yes
No
Don't Know
Clear selection
C4: I have been given the program's written policy regarding the care of sick children.
Yes
No
Don't Know
Clear selection
C5: Parents are notified when their child has been in an accident and/or has been exposed to communicable illnesses or parasites (such as lice).
Yes
No
Don't Know
Clear selection
C12: I receive advance notifications of each field trip activity that requires transportation. (Check N/A if your child is not transported for field trips.)
Yes
No
Don't Know
N/A
Clear selection
C13: All areas used by children are well lit, ventilated, and maintained at a comfortable temperature.
Yes
No
Don't Know
Clear selection
C15: The center is kept clean and orderly and has no lingering, offensive odor including strong chemical odors.
Yes
No
Don't Know
Clear selection
C19: I have been given a copy of the program's plan for moving children to another location in emergency situations.
Yes
No
Don't Know
Clear selection
C22: I have been given information on providing my child with nutritionally balanced meals and/or snacks to eat at the center. (Check N/A if the program provides all meals/snacks for your child while at the center.)
Yes
No
Don't Know
N/A
Clear selection
C25: My child has been in a consistent classroom with consistent teacher(s) and has not been moved to a new classroom more than one time each year.
Yes
No
Don't Know
Clear selection
D1: Planned classroom activities for each day are posted by the teacher for my information.
Yes
No
Don't Know
Clear selection
D4: The program works with parents to make reasonable modifications for children with short or long term special needs. (Check N/A if you do not have a child with special needs.)
Yes
No
Don't Know
N/A
Clear selection
D10: I have observed the classroom teacher(s) actively engage my child in conversation (or respond to vocalizations of my infant or toddler) in meaningful ways.
Yes
No
Don't Know
Clear selection
D15: The background, cultures, and experiences of the children and their families are often reflected in lesson plan activities and classroom materials.
Yes
No
Don't Know
Clear selection
D20: Teachers provide other activities instead of using Tv/DVD/Video and computers with infants, toddlers, and two-year olds. (Check N/A if you do not have a child in these groups.)
Yes
No
Don't Know
N/A
Clear selection
E1: The teachers greet my child and me by name upon arrival each day.
Yes
No
Don't Know
Option 4
Clear selection
E2: Teachers treat children with respect, and I have never seen them laugh at, embarrass, criticize, threaten, tease, or reject any child.
Yes
No
Don't Know
Clear selection
E3: Teachers are responsive to my child's needs.
Yes
No
Don't Know
Clear selection
E4: Teachers give directions using positive words, for example "Walk" rather than "Don't run"; "Gentle touches" rather than "Don't hit".
Yes
No
Don't Know
Clear selection
E6: My child is generally happy, relaxed and engaged in activities while at the center.
Yes
No
Don't Know
Clear selection
F8: All staff members follow procedure that ensure the safe arrival and departure of the children.
Yes
No
Don't Know
Clear selection
What else would you like to tell us?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
