How Did It Go?

This report helps In Progress track what we are doing, who we are working with and how we can improve our work over time.  It is important that anyone hosting an In Progress activity with numbers of 6 or more, complete this form upon the conclusion of each session.  Thank you for your help!

* 1. Contact Information:

* 2. What type of activity took place?

* 3. Age Breakdown: Please indicate the total number of participants served by age.

* 4. Ethnicity: Please estimate the demographic breakdown (estimates) to the best of your ability.

* 5. Gender:

* 6. Estimated Family Income Bracket: (please estimate to the best of your ability - you may have to meet with the site coordinator to determine estimates).

* 7. Total Number of Contact Hours with participants:

* 8. Please rate the following on a scale of 1 to 4 the quality of the following:

  needs improvement met expectation exceeded expecation
welcoming environment
safe environment
quality of instruction
participant engagement

* 9. What challenges did you encounter with this activity?

* 10. What impressed you most about the activity:

* 11. How did you archive the activity? (check all that apply