Q1. 您的年級？（單選題）
Q2. 目前的情感狀況？（單選題）
Q3. 根據(jù)您的了解，您的孩子入幼兒園時，除了健康體檢外，是否參加考試或測查選拔后入的園？（單選題）
是，參加考試或測查后入的園······················· A
不是，沒有參加任何考試或測查就入園了·············· B
不了解····································· C
Q4. 您認為我園是否以游戲為基本活動？（單選題）
是··························· A
不是··························· B
不了解····································· C
Q5. 您認為我園是否教授拼音、英語、寫字等小學(xué)內(nèi)容？（單選題）
是····································A
否·······································B
Q6. 您對我園老師與您的日常溝通工作是否滿意？【綜合考慮家長委員會設(shè)立運行情況、與家長的溝通方式、溝通渠道、溝通頻次和溝通態(tài)度等因素】（單選題）
滿意········································ A
一般········································ B
不滿意······································ C
不了解······································ D
Q7. 您對我園的老師是否滿意？【綜合考慮教師的職業(yè)道德、對幼兒的尊重關(guān)愛程度和教育教學(xué)水平】（單選題）
滿意·········································· A
一般·········································· B
不滿意········································ C
不了解········································ D
Q8. 您對我園的伙食是否滿意？（單選題）
很滿意·········································· A
比較滿意······································ B
基本滿意·········································· C
Q9. 您認為我園有沒有按照政府規(guī)定的收費標(biāo)準(zhǔn)收費？【按規(guī)定，營利性民辦幼兒園實行市場調(diào)節(jié)價?！浚▎芜x題）
有······················ A
沒有············· B
不了解····································· C
Q10. 根據(jù)您的了解，您認為我園有沒有亂收費情況？【除了保教費、服務(wù)性收費（伙食費、校車接送費）、代收費（床上用品費、意外傷害保險費、居民基本醫(yī)療保險費）外，如另收取特色班費、書本費、捐資助學(xué)費、取暖降溫、飲水、監(jiān)控等費用】（單選題）
有·············································· A
沒有············································ B
不了解·········································· C
Q11. 綜合上述所有方面，您對我園保育教育情況是否滿意？（單選題）
滿意············································ A
一般············································ B
不滿意·········································· C
不了解·········································· D
Q12. 您的幼兒所在班級？（填空題）
Q13. 通過您對我園工作的了解，請您留下合理建議和寶貴意見。（填空題）
Q14. 請您留下您的聯(lián)系方式（填空題）
