Therapeutic Recreation Section
Program Evaluation Form
Name of Program:
Please select one ...
Acting/Theatre
Actor's Technique
Adventures in Art
Annual Exhibit
ArtMerge
Campout
Cartooning
Create A Character
Creative Arts
Digital Art
Drawing
Drumming
Dynamix
ESE Day
Hip Hop Dance
Holiday Showcase
Jewelry Making
Kickball
Kid's Club
Leisure Spectrum
Martial Arts
Mental Health Field Day
Norton Museum Workshop & Tour
Painting
Photography
Pottery
Progressive Golf
Sailing
Sculpture
Second Wind Festival
Sewing
Softball
SpotLighters
Stardust Dance Club
Start with the Arts
Summer Camp - Teen
Summer Camp - Youth
Swim Lessons
Turkey Trot
Water Aerobics
Water Exercise
West Fest
What's Cooking
Wheelchair Rugby
Yoga
Date of Program?
Please select one ...
Summer
Fall
Winter/Spring
Participant enjoyed the class:
Please select one ...
5 Extremely Satisfied
4 Satisfied
3 No Opinion
2 Dissatisfied
1 Extremely Dissatisfied
Please rate the program you attended:
Please select one ...
5 Excellent
4 Good
3 Average
2 Fair
1 Poor
I would recommend this program to a friend:
Please select one ...
5 Extremely Agree
4 Agree
3 No Opinion
2 Disagree
1 Extremely Disagree
I registered my child:
Please select one ...
In Person
Online
By Fax
By Mail
How did you find out about this program?
Please select one ...
Flyer
From a Friend
Newspaper
Newsletter
Website
Press release
Other
The program fees were:
Please select one ...
3 Just Right
2 Affordable
1 Too High
This program was offered on a convenient day and time:
Please select one ...
Yes
No
Would you sign up for this program again?
Please select one ...
Yes
No
What is your preferred method of registration for future class?
Please select one ...
In Person
Online
By Fax
By Mail
What was the best part of the program?
Please select one ...
Staff
Facility
Location
Length of the class
Fee
Class size
Activities
All of the above
Was staff helpful in meeting your special health, accessibility or behavior needs?
Please select one ...
5 Extremely Satisfied
4 Satisfied
3 No Opinion
2 Dissatisfied
1 Extremely Dissatisfied
Instructor's Name:
Comments/Suggestions
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