Thank you for taking the time to provide feedback on the educator who worked with your family or school. Your insights are valuable in helping us maintain and improve the quality of educators we submit to our clientele in the future.

Name

First Last

Email*

How do you know (candidate name)?*

How long did he/she work for you?*

What was (candidate's name) hourly or salary rate? Did he/she also get benefits?**

What were his/her specific responsibilities?**

How many children did (candidate's name) educate? What was the number of children in the classrooms (if applicable)? What were the ages of the child(ren) upon hire?*

How was he/she in terms of being punctual and reliable?*

If a private educator, did he/she help with any additional household tasks (light cleaning, laundry, errands, etc)?*

What types of activities did he/she initiate with your child(ren)?*

How did your child(ren) relate to him/her?*

Why and when did the position end?*

Do you have any additional comments for (candidate's name) future employer?*

Was she/he creative in coming up with fun activities, projects and outings to do with your children?*

Was she/he flexible and able to adapt and accommodate for your needs and schedules?*

Do you feel she/he displayed good initiative and if so, could you give me an example?*

How would you describe her/his stamina and energy level regarding the work done for you?*

Is there anything else you would like to share with us before we consider her/him for employment?*

Is there anything I haven't asked that you'd like to share with me?*

Do we have permission to release your comments to potential employers?*

Additional Classroom Educator portion (if applicable)

1. Adherence to Curriculum

**How well did the candidate adhere to the curriculum?***

Comments:

2. Content Enhancement

**Did the educator enhance the content of your curriculum?***

Significantly
Moderately
Slightly
Not at all

Comments:

3. Student Progress

**What progress did you see from your students?***

Significant improvement
Moderate improvement
Slight improvement
No improvement
Decline in performance

Comments:

4. Communication and Approachability

**Was the educator approachable and easy to communicate with?***

Comments:

5. Grade Levels Taught

**What grade level(s) did the educator teach?***

Preschool
Elementary
Middle School
High School
Other (please specify):

6. Strengths and Areas for Improvement

**In your observation, what were the educator's strengths? What could they improve on?**

**Strengths:**

**Areas for Improvement:**

7. Duration of Service

**How many years did the educator work with your family/school?**

Less than 1 year
1-2 years
3-5 years
More than 5 years

8. Curriculum Method

What method of teaching did he/she utilize to build your curriculum and lesson plans?

Did they meet your/the standard or state board requirements? Please explain.

9. Recommendation

**Would you recommend this educator and why?**

Yes
No

**Reason for your answer:**

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Client Survey: Educator Feedback

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