Child's Name

Email Address

Today's Date

Date of Attendance at Frederick Country Day:
From: To:

Using the scale below, please rate your child's experience at Frederick Country Day in terms of meeting your child's development needs:

1 - Excellent
2 - Good
3 - Satisfactory
4 - Needs Improvement
5 - Not Met

What recommendations would you suggest to make a successful transition from FCD to a private/public setting?

What school does your child presently attend?

School: Grade:

How well is your child's present setting meeting his/her needs?

1 - Excellent
2 - Good
3 - Satisfactory
4 - Needs Improvement
5 - Not Met

Comments:

Frederick Country Day will not release this confidential information. Thank you for participating!