Weekly Program Survey

100% of survey complete.

In order to ensure quality of weekly programs, NWSRA would appreciate your input. Please take a few minutes to complete this evaluation.

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* 1. Season

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* 2. Please enter the following information below:

Participant Name:

Date:

Program Name:

Season/Year:

Parent Name and E-mail:

NWSRA Staff:

Please circle the appropriate ranking for each question, and use space below for additional comments: 3 = Exceeds Expectations; 2 = Meets Expectations; 1 = Not Adequate; NA = Not Applicable

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* 3. Please rate below:

	Exceeds Expectations	Meets Expectations	Not Adequate	N/A
Satisfaction of the Program	Satisfaction of the Program Exceeds Expectations	Satisfaction of the Program Meets Expectations	Satisfaction of the Program Not Adequate	Satisfaction of the Program N/A
Was the registration process efficient and customer friendly?	Was the registration process efficient and customer friendly? Exceeds Expectations	Was the registration process efficient and customer friendly? Meets Expectations	Was the registration process efficient and customer friendly? Not Adequate	Was the registration process efficient and customer friendly? N/A
Did the cost of the Program meet the activity needs?	Did the cost of the Program meet the activity needs? Exceeds Expectations	Did the cost of the Program meet the activity needs? Meets Expectations	Did the cost of the Program meet the activity needs? Not Adequate	Did the cost of the Program meet the activity needs? N/A
Benefits received from participation in this program	Benefits received from participation in this program Exceeds Expectations	Benefits received from participation in this program Meets Expectations	Benefits received from participation in this program Not Adequate	Benefits received from participation in this program N/A

Please list specific benefits:

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* 4. Please rate the NWSRA Staff:

	Exceeds Expectations	Meets Expectations	Not Adequate	N/A
Prompt/Dependable	Prompt/Dependable Exceeds Expectations	Prompt/Dependable Meets Expectations	Prompt/Dependable Not Adequate	Prompt/Dependable N/A
Communication of Changes	Communication of Changes Exceeds Expectations	Communication of Changes Meets Expectations	Communication of Changes Not Adequate	Communication of Changes N/A
Friendly Attitude	Friendly Attitude Exceeds Expectations	Friendly Attitude Meets Expectations	Friendly Attitude Not Adequate	Friendly Attitude N/A
Assistance	Assistance Exceeds Expectations	Assistance Meets Expectations	Assistance Not Adequate	Assistance N/A
Encouraged Independence	Encouraged Independence Exceeds Expectations	Encouraged Independence Meets Expectations	Encouraged Independence Not Adequate	Encouraged Independence N/A
Overall satisfaction with their performance	Overall satisfaction with their performance Exceeds Expectations	Overall satisfaction with their performance Meets Expectations	Overall satisfaction with their performance Not Adequate	Overall satisfaction with their performance N/A

Additional Comments:

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* 5. Please rate the Program:

	Exceeds Expectations	Meets Expectations	Not Adequate	N/A
Age Appropriate Activity	Age Appropriate Activity Exceeds Expectations	Age Appropriate Activity Meets Expectations	Age Appropriate Activity Not Adequate	Age Appropriate Activity N/A
Met Goals/Expectations	Met Goals/Expectations Exceeds Expectations	Met Goals/Expectations Meets Expectations	Met Goals/Expectations Not Adequate	Met Goals/Expectations N/A
Notified of Activity Schedule	Notified of Activity Schedule Exceeds Expectations	Notified of Activity Schedule Meets Expectations	Notified of Activity Schedule Not Adequate	Notified of Activity Schedule N/A
Length of Time of Program	Length of Time of Program Exceeds Expectations	Length of Time of Program Meets Expectations	Length of Time of Program Not Adequate	Length of Time of Program N/A
Location of the Program	Location of the Program Exceeds Expectations	Location of the Program Meets Expectations	Location of the Program Not Adequate	Location of the Program N/A
Length of the Program Season	Length of the Program Season Exceeds Expectations	Length of the Program Season Meets Expectations	Length of the Program Season Not Adequate	Length of the Program Season N/A

Additional Comments:

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* 6. Please rate Transportation:

	Exceeds Expectations	Meets Expectations	Not Adequate	N/A
Promptness	Promptness Exceeds Expectations	Promptness Meets Expectations	Promptness Not Adequate	Promptness N/A
Location of Pick-up/Drop off, if applicable	Location of Pick-up/Drop off, if applicable Exceeds Expectations	Location of Pick-up/Drop off, if applicable Meets Expectations	Location of Pick-up/Drop off, if applicable Not Adequate	Location of Pick-up/Drop off, if applicable N/A
Door to Door, if applicable	Door to Door, if applicable Exceeds Expectations	Door to Door, if applicable Meets Expectations	Door to Door, if applicable Not Adequate	Door to Door, if applicable N/A

Additional Comments:

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* 7. Any suggestions to improve this Program?

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* 8. Any suggestions for new programs?

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* 9. Would you like to be contacted in regards to your comments?

Yes

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* 10. If yes, how would you like to be contacted?

Phone

E-mail

Please provide contact information:

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* 1. Season

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* 2. Please enter the following information below:

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* 3. Please rate below:

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* 4. Please rate the NWSRA Staff:

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* 5. Please rate the Program:

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* 6. Please rate Transportation:

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* 7. Any suggestions to improve this Program?

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* 8. Any suggestions for new programs?

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* 9. Would you like to be contacted in regards to your comments?

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* 10. If yes, how would you like to be contacted?

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* 11. With 1 being the least likely and 10 being the most likely, how likely are you to recommend NWSRA programs and services to others.