SurveyMonkey Powered Online Survey

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1. CONTACT INFORMATION

Contact person name:

Troop# (non-Girl Scouts, enter organization name):

Title of contact:

Contact person address:

City/Town:

ZIP:

County:

Email Address:

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2. CAMP LOCATION

Camp Conowingo

Camp Ilchester

Clementine Peterson Activity Center

Camp Whippoorwill

Camp Woodlands

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3. DATES OF USE

Start date:

Date

End date:

Date

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4. PROGRAM/GRADE LEVEL (check all that apply)

Grades K-1 (Daisy)

Grades 2-3 (Brownie)

Grades 4-5 (Junior)

Grades 6-8 (Cadette)

Grades 9-10 (Senior)

Grades 11-12 (Ambassador)

Adult

non-Girl Scout group/organization

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5. NUMBER OF ATTENDEES

Adult Women

Adult Men

Girls (under age 18)

Boys (under age 18)

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6. To help ensure that we reach youth of various backgrounds, please list the number of program participants in each racial/ethnic group:

American Indian/Alaska Native

Asian American

Black

Hawaiian/Pacific Islander

White

Multi-racial

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7. How many are Hispanic/Latino?

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8. Was the camping facility:

	Very much	Somewhat	A little	Not at all	Don't know
Easy to find	Easy to find Very much	Easy to find Somewhat	Easy to find A little	Easy to find Not at all	Easy to find Don't know
Reasonably priced	Reasonably priced Very much	Reasonably priced Somewhat	Reasonably priced A little	Reasonably priced Not at all	Reasonably priced Don't know
Well maintained	Well maintained Very much	Well maintained Somewhat	Well maintained A little	Well maintained Not at all	Well maintained Don't know
Sufficiently staffed	Sufficiently staffed Very much	Sufficiently staffed Somewhat	Sufficiently staffed A little	Sufficiently staffed Not at all	Sufficiently staffed Don't know

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9. Were on-site staff:

	Very much	Somewhat	A little	Not at all	Don't know
Available	Available Very much	Available Somewhat	Available A little	Available Not at all	Available Don't know
Responsive to requests	Responsive to requests Very much	Responsive to requests Somewhat	Responsive to requests A little	Responsive to requests Not at all	Responsive to requests Don't know
Easy to work with	Easy to work with Very much	Easy to work with Somewhat	Easy to work with A little	Easy to work with Not at all	Easy to work with Don't know

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10. Areas of the facility that need attention:

NONE

Sleeping units: exterior

Sleeping units: interior

Caitlin Dunbar Nature Center

Dining hall

Kitchen/cooking area

Fire circle/fireplace

Latrines/bathrooms

Windows

Doors

Appliances

Indoor furniture

Outdoor furniture

Other:

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11. Please give details for any items checked above

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12. How well did the facility meet your program's needs?

Very well

Somewhat

Poorly

Not at all

Please explain:

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13. GIRL SCOUT CLIENTS ONLY -- In your opinion, did the campers: (If non-Girl Scout group, skip this question and go to Question 14.)

	A lot	Somewhat	A little	Not at all	Don't know
Have fun	Have fun A lot	Have fun Somewhat	Have fun A little	Have fun Not at all	Have fun Don't know
Learn new camping skills	Learn new camping skills A lot	Learn new camping skills Somewhat	Learn new camping skills A little	Learn new camping skills Not at all	Learn new camping skills Don't know
Learn Girl Scout traditions	Learn Girl Scout traditions A lot	Learn Girl Scout traditions Somewhat	Learn Girl Scout traditions A little	Learn Girl Scout traditions Not at all	Learn Girl Scout traditions Don't know
Show empathy/friendship skills	Show empathy/friendship skills A lot	Show empathy/friendship skills Somewhat	Show empathy/friendship skills A little	Show empathy/friendship skills Not at all	Show empathy/friendship skills Don't know
Develop more confidence	Develop more confidence A lot	Develop more confidence Somewhat	Develop more confidence A little	Develop more confidence Not at all	Develop more confidence Don't know
Respect other's talents and abilities	Respect other's talents and abilities A lot	Respect other's talents and abilities Somewhat	Respect other's talents and abilities A little	Respect other's talents and abilities Not at all	Respect other's talents and abilities Don't know
Strengthen problem-solving skills	Strengthen problem-solving skills A lot	Strengthen problem-solving skills Somewhat	Strengthen problem-solving skills A little	Strengthen problem-solving skills Not at all	Strengthen problem-solving skills Don't know

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14. Would you:

	Yes	Not sure	No
Use this facility again	Use this facility again Yes	Use this facility again Not sure	Use this facility again No
Recommend this facility to others	Recommend this facility to others Yes	Recommend this facility to others Not sure	Recommend this facility to others No

Facility/Campground Evaluation

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1. CONTACT INFORMATION

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2. CAMP LOCATION

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3. DATES OF USE

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4. PROGRAM/GRADE LEVEL (check all that apply)

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5. NUMBER OF ATTENDEES

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6. To help ensure that we reach youth of various backgrounds, please list the number of program participants in each racial/ethnic group:

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7. How many are Hispanic/Latino?

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8. Was the camping facility:

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9. Were on-site staff:

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10. Areas of the facility that need attention:

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11. Please give details for any items checked above

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12. How well did the facility meet your program's needs?

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13. GIRL SCOUT CLIENTS ONLY -- In your opinion, did the campers: (If non-Girl Scout group, skip this question and go to Question 14.)

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14. Would you:

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15. What did the campers enjoy most about the facility you used?

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16. Other comments or success stories