Exit this survey >> Connelly Access Program 2016-17 School Feedback Question Title * 1. School Name Blessed Trinity Regional Christ the King DePaul Catholic Holy Innocents Area Holy Redeemer Mother of Divine Grace Our Lady of Calvary Our Lady of Port Richmond Our Mother of Sorrows-St. Ignatius St. Anselm St. Anthony of Padua Regional St. Athanasius St. Christopher St. Dominic St. Francis de Sales St. Jerome St. Katherine of Siena St. Laurentius St. Martha St. Mary Interparochial St. Peter the Apostle St. Pio Regional St. Rose of Lima Question Title * 2. Evaluator Name Question Title * 3. Evaluator's Position at School Principal Vice-Principal Classroom Teacher Music Teacher Art Teacher Other (please specify) Question Title * 4. Field Trip/Assembly/Residency Date(For a residency, enter any date during the program.) Date Date Question Title * 5. Organization providing Assembly/Field Trip/Residency 1807 & Friends/Wister Quartet Academy of Natural Sciences Adventure Aquarium Arden Theatre AMLA Bartram's Garden Chestnut Brass Company Clay Studio Eastern State Pentitentiary Franklin Institute Freedoms Foundation Historical Society of Pennsylvania Independence Seaport Museum Musicopia Mutter Museum National Liberty Museum Penn Museum Philadelphia Museum of Art Philadelphia Orchestra Philadelphia Photo Arts Center Philadelphia Zoo Walnut Street Theatre Question Title * 6. Grades attending the Field Trip/Assembly/Residency (check all that apply) 4 5 6 7 8 Other (please specify) Question Title * 7. Bus Company Used (if applicable) Question Title * 8. Did the Field Trip/Assembly/Residency supplement your school curriculum? Very Much Somewhat Not at all Question Title * 9. Did you receive preparatory material prior to the Field Trip/Assembly/Residency? Yes No Question Title * 10. Did you use the preparatory material with your students beforehand? Yes No Question Title * 11. Was this your first Field Trip/Assembly/Residency with this organization? Yes No Question Title * 12. For how many of your students was this a first time experience? All Most Some None Question Title * 13. Please rate this Field Trip/Assembly/Residency on a scale of 1 to 5. 1 - Poor 2 - Fair 3 - Good 4 - Very Good 5 - Excellent Question Title * 14. Do you have any suggestions for other organizations we should consider for inclusion in this program? What field trips, assemblies, or residencies would you like to experience? Question Title * 15. Additional Comments - We appreciate your honest feedback! Done >>