Childcare Exit Survey
Find out why a family is leaving, what nearly kept them and whether they would come back.
A ready-to-use daycare forms form for small teams who need a reliable intake process: 12 questions, 2 pages, 1 conditional rules.
- Questions
- 12
- Pages
- 2
- Layouts
- card · classic
- Conditional rules
- 1
- Typical time
- 4 min
Searches this template answers
- childcare exit survey
- exit feedback form
- leaving survey form
- departure questionnaire
- why families leave survey
Also filed under
Live preview and test console
This is the real form. Answer it to test the 1 conditional rule — nothing is sent or stored.
Page 1 of 2 — Leaving
1 question is hidden by conditional logic right now — change an answer above to reveal it.
What happens after submit: nothing is stored in this preview. On your own copy, every response triggers an instant email notification and lands in your response dashboard, ready to export or forward.
Happy with it? Take a copy into your workspace — every question, rule and setting comes with it.
Who this template is for
Childcare Exit Survey is built for small teams who need a reliable intake process who need to collect the same complete information from everyone.
- Small teams who need a reliable intake process working in daycare forms.
- Teams who need to collect the same complete information from everyone without writing code or paying for a custom build.
- Anyone replacing chasing missing details over email with one structured record per enquiry.
- Respondents are the people you send it to — the form asks them 12 questions across 2 screens.
- Mobile-heavy audiences, thanks to the one-question-per-screen card layout.
Why this form is useful
It removes the cost of chasing missing details over email and turns each submission into a record your team can act on immediately.
- 8 questions are required, so submissions arrive complete instead of needing a follow-up email.
- It collects a verified email address so replies and confirmations land.
- It scores satisfaction on a consistent scale.
- Conditional logic hides 1 question until they are relevant — shorter forms convert better than long ones.
- Splitting the form across 2 pages keeps each screen short and shows respondents how much is left.
- Every response is stored, searchable and exportable, so nothing depends on one person's inbox.
How to use this template
From copy to live form is a few minutes of work, and every step is reversible.
- 1Press “Use this template” — a fresh copy of Childcare Exit Survey lands in your workspace, ready to edit.
- 2Rename or delete any question, and change what is required. Nothing here is fixed.
- 3Open Notifications and add the email addresses that should be alerted on each submission; add an auto-reply to the respondent if the form collects an email address.
- 4Publish it, then either share the link directly or paste the embed snippet into your site — the embedded form resizes to fit and loads no marketing or advertising trackers.
- 5Watch responses land in Submissions, where you can filter, label and export them to CSV or PDF.
Logic and conditions blueprint
Exactly how this form behaves as it is answered — 1 conditional rule ship with it.
- Features advanced show logic: if “Was anything about our centre part of the decision?” is Yes, the form dynamically exposes “What was it?”. Otherwise that question never appears.
- All 1 rule are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.
About this template
The most honest feedback a centre ever gets arrives from families who are already leaving. Kept short and answered one question per screen, this survey separates reasons you cannot control from reasons you can, asks what nearly changed their mind, and finds out whether they would return or recommend you anyway.
What this form asks
Every question is editable — rename it, make it optional, or delete it entirely.
Page 1 — Leaving
- Which room is your child leaving?required
- How long were you with us?required
- Main reason for leavingrequired
- Was anything about our centre part of the decision?required
- What was it?
Page 2 — Looking back
- Overall experience with us
- What did we get right?
- What nearly changed your mind about leaving?
- Would you recommend us to another family?required
- Would you consider coming back if your circumstances changed?required
- May we contact you about your answers?required
- Email address if you'd like a replyrequired
12 questions in total.
How the form changes as it's filled in
This template ships with 1 conditional rule, grouped into 1 behaviour driven by 1 question. Everything below is already set up — edit or delete any rule once the template is in your workspace.
Driven by “Was anything about our centre part of the decision?”
- Reveals questions
If “Was anything about our centre part of the decision?” is Yes, the form reveals “What was it?”.
What it pairs with
Most teams don't run this form on its own. These are the forms and systems it sits next to.
Works in both layouts
Forms that overlap this one
These pages cover the same subject ground as the childcare exit survey, matched on the words people actually search for.
Parent Satisfaction Survey
carecenterchildchildcareday
Child Withdrawal Form
carecenterchildchildcareday
Churn Exit Survey Form
exitfeedbackkeptleavingquestionnaire
Child Medical Information Form
carecenterchildchildcareday
Exit Interview Form
exitinterviewkeptleavingowner
Waitlist Signup Form
carecenterchildchildcareday
Privacy & compliance
This form asks about a child. Collect a guardian's consent, keep contact and medical answers to the minimum you actually need, and restrict who on your team can open the responses.
Frequently asked questions
Is the Childcare Exit Survey template free to use?
Yes. You can preview and test Childcare Exit Survey on this page without an account, and take a copy into your own HelloForms workspace on the free plan. There is nothing to install and no card required to publish it.
What does the Childcare Exit Survey template ask for?
It asks 12 questions across 2 pages, 8 of which are required. Every question is listed in full further down this page, and each one can be renamed, reordered, made optional or deleted after you copy the template.
Can I edit the Childcare Exit Survey form after copying it?
Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the card and classic layouts, restyle it to match your brand, and set who gets notified on each submission.
How does the conditional logic in this daycare forms form work?
1 conditional rule ships with the template: Features advanced show logic: if “Was anything about our centre part of the decision?” is Yes, the form dynamically exposes “What was it?”. Otherwise that question never appears. All 1 rule are editable in the Logic tab, and the built-in checker warns about rules that contradict each other. All rules are editable in the Logic tab.
Where do responses to the Childcare Exit Survey form go?
Submissions land in your workspace under Submissions, where you can search, filter, label and export them to CSV or PDF. You can also email a notification to your team on every submission and send the respondent an auto-reply.
Can I embed the Childcare Exit Survey form on my own website?
Yes. Publish the form and paste the embed snippet into any page or share the direct link. The embedded form resizes to fit its container and loads no advertising or marketing trackers inside the iframe.
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