Therapeutic Recreation Section
Program Evaluation Form
Name of Program:
Please select one ...
Leisure Spectrum
Kickball
What's Cooking
Stardust Dance Club
Progressive Golf
Campout
Youth Martial Arts
Kids Club
Yoga
Swim Lessons
Water Aerobics
Jewelry Making
Drumming
Acting On Stage and Off
Pottery
Summer Camp - Youth
Summer Camp - Teen
Wheelchair Rugby
Creative Arts
Second Wind Festival
Mental Health Field Day
Sailing
Basic Theatre
SpotLighters
Dynamix
Holiday Showcase
ESE Day
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 reccomend this program to a friend:
Please select one ...
5 Extremely Disagree
4 Disagree
3 No Opinion
2 Agree
1 Extremely Agree
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 Too High
2 Affordable
1 Just right
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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