Jack and Jill Age Group Activity Survey

Your feedback is important. Please share your thoughts about the JNJ events and activities that you have participated in.

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* 1. What activity group are you representing?

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* 2. What is the name of the activity or event you are evaluating?

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* 3. What was the date of the program

Date / Time

Date

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* 4. Did the program start and end on time?

Yes

No

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* 5. Was the program developmentally appropriate for your child?

yes

no

n/a

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* 6. Would you recommend having this program again?

yes

no

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* 7. I recommend the following improvements:

Other (please specify)

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* 8. Please extend my compliments

I loved the invitation

The host went above and beyond what was expected

My child(ren) loved this activity

Everything was great!

Other (please specify)

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* 9. I would like to add the following remarks/suggestions.

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* 10. Overall, how many stars would you give this activity?

Other (please specify)