Feedback/evaluation Form
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Queen's University Off-Campus Activity Safety Policy
Feedback/Evaluation Form
Instructions
Participants in Off-Campus Activities may be asked to complete this Feedback/Evaluation Form upon return from an
off-campus activity. Any participant has the option of completing this form even if it has not been requested.
Completed forms should be submitted to the Off-Campus Activity Leader, Principal Investigator, Activity Coordinator,
Department Head/Person in Authority, Director of Environmental Health and Safety, or any other appropriate
University official. Information provided will be used to monitor off-campus activities, identify and evaluate potential
risks, and improve training and support systems.
A. General Information
1. Category of person completing the form:
Student
Faculty Member
Staff
Other ________________________________
(please specify, e.g., volunteer)
2. Nature of Off-Campus Activity
Research
Academic
(please specify)
______________________________________________________________
Athletic
Other (
__________________________________________________
please specify)
3. Location of off-campus activity
Setting (please provide details)
domestic (in Canada)
urban ____________________________________
international (please specify country)
rural _____________________________________
__________________
remote _____________________________________
B. Preparation and Training
(Please circle the appropriate response, and add comments/explanations where appropriate)
poorly----------------------------very well
.
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How prepared were you for your off-campus activity?
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In preparing for your off-campus activity, rate the usefulness
of the following resources:
not useful------------------------very useful
2. Face-to-face pre-departure sessions
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3. On-line pre-departure training
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5
4. Other resources/publications provided
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5. Other (
)________________________________
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please specify
6. What improvements do you suggest and what other information do you think could have been provided?
7. Is there anything else you wish you had or had not taken with you (e.g., equipment, clothing, documentation)?
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