2. Romeoville Recreation Child Care or Indoor Playground Survey
4. Please rate your experience with our program.*

   1. Excellent
   2. Very Good
   3. Good
   4. Fair
   5. Poor
5. Staff are friendly and attentive to my child’s needs.*

   1. Exceeds Expectations
   2. Meets Expectations
   3. Needs Improvement
7. Cleanliness of the Indoor Playground and toys/equipment*

   1. Excellent
   2. Very Good
   3. Good
   4. Fair
   5. Poor
8. Hours Child Care Service is available*

   1. Exceeds Expectations
   2. Meets Expectations
   3. Needs Improvement
10. How many times a week do you use the Child Care Service or the Indoor Playground?*
11. How many children do you put in the Child Care Service or the Indoor Playground?*
13. Is the Child Care Service or the Indoor Playground worth the price?*
15. Please rate the fee for the program.*

    1. Excellent
    2. Very Good
    3. Good
    4. Fair
    5. Poor
16. How did you hear about the program?*

    1. Brochure
    2. Outdoor Signage
    3. Social Media
    4. Flyer/Poster
    5. School Newsletter
    6. Referred from friend or family
    7. Advertisement
18. Would you recommend this class or program to others?*

    1. Yes
    2. No
19. Would you/your child consider participating again? *

    1. Yes
    2. No
21. Comments*
    Do you have any additional comments about your experience?
23. Would you like to sign up for our e-news list?
    Please leave us your e-mail address.
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25. 1. Receive an email copy of this form.
26. Email address

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