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Adaptive Recreation Participant Evaluation FY11

 

1. Term

Term   Fall Winter Spring Summer

*

2. Activity

Activity

*

3. Instructor

Instructor

4. Did you feel comfortable and safe in the activity?

Did you feel comfortable and safe in the activity?   Yes No

5. Did the instructor(s)treat you with respect and were they positive?

Did the instructor(s)treat you with respect and were they positive?   Yes No

6. Did the volunteer(s) treat you with respect and were they positive?

Did the volunteer(s) treat you with respect and were they positive?   Yes No N/A No volunteers in the class or program

7. Did you feel you had choices during the activity?

Did you feel you had choices during the activity?   Yes No

8. Did you learn any new skills by participating in the activity?

Did you learn any new skills by participating in the activity?   Yes No

9. Do you feel more independent after participating in the activity?

Do you feel more independent after participating in the activity?   Yes No

10. What part of this activity did you enjoy the most?

What part of this activity did you enjoy the most?

11. What suggestions do you have to make this activity better?

What suggestions do you have to make this activity better?

12. Is there anything about this activity you didn't like?

Is there anything about this activity you didn't like?

13. How satisfied were you with this activity?

How satisfied were you with this activity?   Dissatisfied

Satisfied

Very Satisfied

14. If you answered NO to any question or were dissatisfied, please explain why.

If you answered NO to any question or were dissatisfied, please explain why.

15. Is there anything else you would like to add or would like the instructor/volunteers to know?

Is there anything else you would like to add or would like the instructor/volunteers to know?