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Accommodation Evaluation Form
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1.
Contact and Accommodation Information
(Required.)
Name (optional)
Accommodation Address:
*
Accommodation Town/City:
*
Email Address:
*
2.
Satisfaction of Experience
Please rate the following statements by circling/checking the appropriate number of the following scale, where: 1 = Poor, 2 = Fair, 3 = Unsure/OK, 4 = Liked It and 5 = Loved It
(Required.)
1 - Poor
2 - Fair
3 - Unsure/OK
4 - Liked It
5 - Loved It
N/A
Receiving Accommodation Information
1 - Poor
2 - Fair
3 - Unsure/OK
4 - Liked It
5 - Loved It
N/A
Picking up Keys for Accommodation
1 - Poor
2 - Fair
3 - Unsure/OK
4 - Liked It
5 - Loved It
N/A
Cleanliness of Accommodation
1 - Poor
2 - Fair
3 - Unsure/OK
4 - Liked It
5 - Loved It
N/A
Supplies – household items/appliances
1 - Poor
2 - Fair
3 - Unsure/OK
4 - Liked It
5 - Loved It
N/A
Furniture (comfort/condition)
1 - Poor
2 - Fair
3 - Unsure/OK
4 - Liked It
5 - Loved It
N/A
Exterior maintenance (snow/lawn)
1 - Poor
2 - Fair
3 - Unsure/OK
4 - Liked It
5 - Loved It
N/A
Overall Condition of the Accommodation
1 - Poor
2 - Fair
3 - Unsure/OK
4 - Liked It
5 - Loved It
N/A
Checkout/Key Return Process
1 - Poor
2 - Fair
3 - Unsure/OK
4 - Liked It
5 - Loved It
N/A
Would you consider a career in this community
1 - Poor
2 - Fair
3 - Unsure/OK
4 - Liked It
5 - Loved It
N/A
Would you recommend this community to other learners
1 - Poor
2 - Fair
3 - Unsure/OK
4 - Liked It
5 - Loved It
N/A
Rate your learning experience in rural Alberta
1 - Poor
2 - Fair
3 - Unsure/OK
4 - Liked It
5 - Loved It
N/A
Rate your overall experience staying in the RhPAP accommodation
1 - Poor
2 - Fair
3 - Unsure/OK
4 - Liked It
5 - Loved It
N/A
3.
Did the RhPAP Accommodation meet/exceed your expectations?
Met-Yes
Exceed-Yes
No
4.
Additional Suggestions or Comments
Do you have any other feedback about your overall rural learning experience?
(Please feel free to recommend anything you feel might improve the accommodation)
