早教客户咨询表

参考医学

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 ------- * 出生日期 Date of Birth : ______________ *所在小区Address : *电子邮箱E-mail : □有Yes □没有No

3、您为宝宝选择早教时会重点考虑哪些因素？ □品牌历史Brand □环境 the Surrounding Environment

□后期服务 Customer Service 5、您认为您的宝宝参加早教主要是达到什么目标？ □社会性的潜能开发（自我服务、社会交往能力） □体能的潜能开发

□音乐的潜能开发

□语言的潜能开发

□逻辑思维的潜能开发

□艺术创造的潜能开发

□英语的学习

What do you think are the key points of early

education?

Potential Development of Social Ability

Which courses are you interest in? □音乐 Music Course □语言 Language Training Course □入园/入学准备课程 Preschool Course Which Gudian will accompany your children during class?

8您将为宝宝选择什么上课时间

When will you choose to go to class?

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?

□妈妈 Mother □爸爸 Father

□祖父 / 母 Grandparents □保姆Nanny □平时和周末同时 anytime □平时 Monday to Friday □周末 on Weekends

*宝宝姓名 Na me of your Children :

* 家长姓名 Name of Parent :

* 电话 Mobile phone : （请在“□”里面划“2”

) 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 □互联网Internet

□报纸杂志广播Media □ Others 其

他 □广告牌 Billboard What factors would you consider when you choose early education?

□价格 Price

□课程 Curriculum □师资Teacher □地理位置Location □园所规模 the Scale of the Center

Potential Development of Physical Fitness Potential Development of Rhythm Potential Development of Language Skills

Potential Development of Logic Thinking

Potential Development of Arts 6、您对下面哪几种课程会比较感兴趣?

□亲子 Parent Course

□思维 Thinking Initiation Course

7、谁将主要陪同宝宝一起上课?

□是 Yes □否No

宝宝昵称

2、您的宝宝参加过早教课程了吗？

Have your children ever taken any early education?

参考医学

早教顾问Education Consultant : 接待日期Date :

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