EmailMe Form - Parent Experience Survey

Please select the category that best describes what you would like to see more of: *

Other:

Do you think your child has learned from ACW's program? *

Yes

No

Other:

Do you enjoy receiving the parent connection/monthly news letter each month? *

Yes

No

Do you read the parent connection/monthy news letter each month? *

Yes

No

No Time

Don't like it

Would you refer others to use ACW's program? *

Yes

No

NA

	Great	Good	Average	Fair	Poor	NA
Accessibility	1	2	3	4	5	6
Facility	1	2	3	4	5	6
Educational Program	1	2	3	4	5	6
Meals	1	2	3	4	5	6
Personal Attention	1	2	3	4	5	6
Monetary Value	1	2	3	4	5	6

Do you enjoy receiving report cards showing your child's progress? *

Yes

No

NA

Overall, what would you like to see more of? *

	Great idea, Love it	Maybe	No Thanks	Not interested	NA
Parent Night Out Fundraiser	1	2	3	4	5
Free Parent Night Out Tickets	1	2	3	4	5
Fundraisers	1	2	3	4	5
Field Trips	1	2	3	4	5
Family/Daycare Group Field Trips	1	2	3	4	5
Child Uniforms	1	2	3	4	5
USDA Food Program	1	2	3	4	5

Please list what kind of fundraiser you would like to participate in: *

Do you think your children enjoyed the visit from the Fire Department? *

Yes

No

NA

Do you think your children enjoyed the visit from the Police Department? *

Yes

No

NA

Do you think your children enjoyed the visit to the Farm? *

Yes

No

NA

Would you like to take a family day trip to the DC Zoo with your children and ACW's family? *

Yes

No

NA

We know it's difficult being away from your children daily so what could ACW do to make your day go easier?

Is there any other information you would like for us to know so we may provide a better service to your family?