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Questions marked with a * are required Exit Survey
 
 
* What is your business name?
   
 
 
 
* What is your state license #?
   
 
 
 
* Do you have updates to your business information?
 
Yes (move to question 4)
 
No (move to question 5)
 
 
 
Please list your updates (examples:  closing soon, new email, new phone number, vacancies, affiliations, assistance offered to families, special needs experience, meals served, days/hours of operation):
   
 
 
 
* Would you like more information about QRIS/PDIS?
 
Yes
 
No