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COZY HOUSE CARE

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Parent Survey

Welcome Back!!

We are excited to welcome back our friends to COZY HOUSE Family Daycare! To keep the information up to date and arrange our curriculum from September, we would like to ask families to take a moment to fill out our survey.
Please complete the survey by August 10th, 2020.
We appreciate all family’s cooperation.

Thank you for your response. ✨

Child’s Name

Is there any change of information such as address and phone number?

Yes

No

If Yes, what has been changed?

Is there any change in child’s health condition such as allergies?

Yes

No

If Yes, what has been changed?

Please list any new skills your child has developed during the quarantine (e.g. eating new foods, toilet training, language etc):

Does your child have any chronic respiratory condition that we should be aware?

Asthma Chronic cough Chronic sinus Hey Fever Dust / mold allergies Other

If Other, what is it?

Do you need to Drop In on August? (Please contact us if Yes)

Yes

No

What is your typical Drop-off time?

What time is your typical Pick-up time?(required)

What concerns do you have about your child returning to our centre?

What can we do to make you feel more comfortable with bringing your child back to our facility?

Do you have any question for us?

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