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Please take a moment to give us some feedback about your experience on a Peer Pals play date.
Email:
*
First Name:
Last Name:
My child has a disability.:
Yes
No
Child's Age at Play Date:
2
3
4
5
Location:
Our home
Our pal's home
Local playground
Other
My child had fun on the play date.:
Strongly Agree
Agree
Disagree
Strongly Disagree
How likely are you to schedule another play date with this family?:
Already scheduled one!
Extremely likely
Very likely
Likely
Not likely
Definitely not
If your answer to the previous question was Not likely or Definitely not, why? :
My child didn't have fun
Kids didn't get along
Parents didn't hit it off
The choice of locations turned out to be too challenging
Would you be interested in being matched with another pal?:
Yes
No
I'd need more information
Tell us about your experience:
*
denotes required field
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