Program Evaluation Form Recreation Services - Lin

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Program Evaluation Form
Recreation Services
1. Program Information
Program Name: ___________________________
Location:
________________________
Date: _____________________________
2. Program Satisfaction
How satisfied were you
How important is this
with this component of
component of the
the program?
program to you?
1 = Very Dissatisfied
1 = Not Important
2 = Dissatisfied
2 = Fairly Important
3 = Satisfied
3 = Important
4 = Very Satisfied
4 = Very Important
N/A = Not Applicable
N/A = Not Applicable
Parent/Guardian Experience:
Satisfaction with the programs activities
1
2
3
4
N/A
1
2
3
4
N/A
Time of program
1
2
3
4
N/A
1
2
3
4
N/A
Cleanliness of the facility
1
2
3
4
N/A
1
2
3
4
N/A
Registration process
1
2
3
4
N/A
1
2
3
4
N/A
Program Fees
1
2
3
4
N/A
1
2
3
4
N/A
The program was well run and organized
1
2
3
4
N/A
1
2
3
4
N/A
Safety
1
2
3
4
N/A
1
2
3
4
N/A
Instructor Evaluation:
Enthusiasm
1
2
3
4
N/A
1
2
3
4
N/A
Knowledge
1
2
3
4
N/A
1
2
3
4
N/A
Preparation of class
1
2
3
4
N/A
1
2
3
4
N/A
Control of class
1
2
3
4
N/A
1
2
3
4
N/A
Individual attention
1
2
3
4
N/A
1
2
3
4
N/A
Your Child’s Experience:
Opportunity to meet new friends
1
2
3
4
N/A
1
2
3
4
N/A
Opportunity to learn new things
1
2
3
4
N/A
1
2
3
4
N/A
Activities suitable to child’s interests
1
2
3
4
N/A
1
2
3
4
N/A
1
2
3
4
N/A
1
2
3
4
N/A
Overall Satisfaction with Program
3. Why did you register your child/children in our program?
(Check all that apply)
The program was recommended by somebody
Cost was reasonable
Location was convenient
Hours were helpful
Reputation of the program
Child chose the program
Returning child
Other ______________________________________

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