Day Home Parent Survey

Family Day Home Provider*
Name of Parent(s)*
Children Name(s)*
Date*
Date Format: MM slash DD slash YYYY
Please use the following numbers to rate the following:
1. 1. Not meeting expectations
2. 2. Sometimes meets expectations
3. 3. Unsure
4. 4. Always meets expectations
5. 5. Exceed expectations
Providers
Presents self to parents as pleasant and approachable?*
- 1
- 2
- 3
- 4
- 5
Always prepared for the day?*
- 1
- 2
- 3
- 4
- 5
Maintains a positive and professional attitude with parents?*
- 1
- 2
- 3
- 4
- 5
Discusses and resolves concerns with parents?*
- 1
- 2
- 3
- 4
- 5
Accepts positive criticism and suggestions?*
- 1
- 2
- 3
- 4
- 5
Respects confidentiality?*
- 1
- 2
- 3
- 4
- 5
Supervises the children at all times as is appropriate?*
- 1
- 2
- 3
- 4
- 5
Treats the children with dignity and respect?*
- 1
- 2
- 3
- 4
- 5
Uses appropriate voice level and discipline techniques with the children?*
- 1
- 2
- 3
- 4
- 5
Chooses and offers appropriate activities for the children?*
- 1
- 2
- 3
- 4
- 5
What are some of your provider’s strengths and weaknesses?*
What are some areas you would like to see your provider improve on?*
Agency
Day home program staff are pleasant and approachable?*
- 1
- 2
- 3
- 4
- 5
Staff are supportive to parents including the provision of resources and referrals?*
- 1
- 2
- 3
- 4
- 5
Supports and supervises the day home operator?*
- 1
- 2
- 3
- 4
- 5
Provides monthly updates (newsletters, phone calls) that are useful?*
- 1
- 2
- 3
- 4
- 5
Is available and helpful for questions or concerns?*
- 1
- 2
- 3
- 4
- 5
Please write any suggestions, concerns or comments you have for the agency or for your provider.*

Thank you very much for your participation. Your opinions and ideas are a valuable tool in ensuring that we are providing quality child care and meeting the needs of families requiring child care.

Home
Work Opportunities
Parent Involvement
Subsidy Information
Fee Schedule

menu

Go to Top

Please use the following numbers to rate the following:

Providers

Agency