客户调查表 Custom Survey Form————---—为了更好地给您提供宝宝的早教咨询服务,需要耽误您 2 分钟时间填写该表,加*为必填项--——---—*宝宝姓名 Na me of your Children:*出生日期 Date of Birth:*家长姓名 Name of Parent:□M □F*所在小区 Address:*电话 Mobile phone:*电子邮箱 E-mail:宝宝昵称(请在“□”里面划“√")1、您是怎么知道红黄蓝的?How do you know about RYB? □路过 Passing by□宣传单 Leaflets□亲友 Friend□广告牌 Billboard□互联网 Internet□报纸杂志广播 Media□Others 其他2、您的宝宝参加过早教课程了吗?Have your children ever taken any early education? □有 Yes □没有 No 3、您为宝宝选择早教时会重点考虑哪些因素?What factors would you consider when you choose early education? □品牌历史 Brand□价格 Price □课程 Curriculum □环境 the Surrounding Environment□师资 Teacher□地理位置 Location □后期服务 Customer Service□园所规模 the Scale of the Center5、您认为您的宝宝参加早教主要是达到什么目标?What do you think are the key points of early education?□社会性的潜能开发(自我服务、社会交往能力)Potential Development of Social Ability □体能的潜能开发 Potential Development of Physical Fitness□音乐的潜能开发 Potential Development of Rhythm□语言的潜能开发 Potential Development of Language Skills □逻辑思维的潜能开发 Potential Development of Logic Thinking □艺术制造的潜能开发 Potential Development of Arts□英语的学习6、您对下面哪几种课程会比较感兴趣?Which courses are you interest in? □亲子 Parent Course□音乐 Music Course□语言 Language Training Course□思维 Thinking Initiation Course□入园/入学准备课程 Preschool Course7、谁将主要陪同宝宝一起上课?Which Gudian will accompany your children during class? □妈妈 Mother□爸爸 Father□祖父/母 Grandparents□保姆 Nanny8、您将为宝宝选择什么上课时间? When will you choose to go to class?□平常和周末同时 anytime□平常 Monday to Friday□周末 on Weekends9、您是否希望得到专家的指导或接收到早教资讯?Do you want to receive knowledge on early education?□是 Yes □否 No 早教顾问 Education Consultant:接待日期 Date: