1、 多彩人生第一步
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
2、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 ed
3、ucation？
□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 Center
5、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 Developme
4、nt 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
□艺术创造的潜能开发 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 cou
5、rses 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 Course
7、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Nanny
8、您将为宝宝选择什么上课时间? When will you choose to go to class？
□平时和周末同时anytime□平时Monday to Friday□周末on Weekends
9、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：
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