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City
   
 
 
Children's details
Age Play School Pre school (Nursery /KG) Day care Name of the School
Child 1
Child 2
Child 3
 
 
 
Both husband and wife are working?
 
Yes
 
No (one of us is working)
 
 
 
Average annual household income
 
< INR 8,00,000
 
INR 8,00,000 - INR 12,00,000
 
INR 12,00,000 - INR 16,00,000
 
INR 16,00,000 - INR 20,00,000
 
> INR 20,00,000
 
 
 
Average out of home working hours
 
9-6 pm
 
9-6 pm and beyond
 
 
 
No. of working saturdays
 
All
 
None
 
Alternate
 
 
Staff Details
No. of Students in the class/day care centre
No. of Teachers
No. of Helpers (Eg. Maids)
 
 
 
What is the Fee Structure?
   
 
 
 
What are the timings of the Day care centre / Pre School ?
   
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Individual attention
Infrastructure
Safety and hygiene
Innovation
 
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