Teacher Feedback

Thank you for choosing Terra Cotta Conservation Area for your field trip. Please provide your comments in the spaces below. By completing this form you will be entered into a draw to win a FREE trip for your class.

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* 1. What is your name?

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* 2. What is your email address?

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* 3. What grade level do you teach?

JK

SK

1

1/2

2

2/3

3

3/4

4

4/5

5

5/6

6

6/7

7

7/8

8

9

10

11

12

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* 4. Name of program(s) attended

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* 5. Date of field trip

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* 6. Please rate the following aspects of your field trip:

	Satisfied	Average	Unsatisfied
Booking process and customer service	Booking process and customer service Satisfied	Booking process and customer service Average	Booking process and customer service Unsatisfied
Curriculum-connected activities	Curriculum-connected activities Satisfied	Curriculum-connected activities Average	Curriculum-connected activities Unsatisfied
Clear and effective instruction	Clear and effective instruction Satisfied	Clear and effective instruction Average	Clear and effective instruction Unsatisfied
Clean and welcoming facility	Clean and welcoming facility Satisfied	Clean and welcoming facility Average	Clean and welcoming facility Unsatisfied
Safe and happy participant experience	Safe and happy participant experience Satisfied	Safe and happy participant experience Average	Safe and happy participant experience Unsatisfied

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* 7. Please identify whether the following factors are barriers to attending an outdoor education program:

	Not a Barrier	Barrier
Program Cost	Program Cost Not a Barrier	Program Cost Barrier
Limited field trip opportunities	Limited field trip opportunities Not a Barrier	Limited field trip opportunities Barrier
Additional busing cost	Additional busing cost Not a Barrier	Additional busing cost Barrier
Distance for travel	Distance for travel Not a Barrier	Distance for travel Barrier
Time and effort for trip planning	Time and effort for trip planning Not a Barrier	Time and effort for trip planning Barrier

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* 8. Please describe any other barriers to participating in outdoor education field trips.

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* 9. Do you plan to use the pre and post activities offered?

Yes

No

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* 10. Are you interested in programming offered in French?

Yes

No

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* 11. Please indicate the extent to which you agree or disagree with the following statements:

	Very strongly disagree	Strongly disagree	Disagree	Agree	Strongly agree	Very strongly agree
I think protecting nature is important	I think protecting nature is important Very strongly disagree	I think protecting nature is important Strongly disagree	I think protecting nature is important Disagree	I think protecting nature is important Agree	I think protecting nature is important Strongly agree	I think protecting nature is important Very strongly agree
I enjoy spending time outdoors in nature	I enjoy spending time outdoors in nature Very strongly disagree	I enjoy spending time outdoors in nature Strongly disagree	I enjoy spending time outdoors in nature Disagree	I enjoy spending time outdoors in nature Agree	I enjoy spending time outdoors in nature Strongly agree	I enjoy spending time outdoors in nature Very strongly agree
I feel motivated to take action(s) to protect nature (for example, unpaid participation in cleanups, nature monitoring programs, or teaching others about nature)	I feel motivated to take action(s) to protect nature (for example, unpaid participation in cleanups, nature monitoring programs, or teaching others about nature) Very strongly disagree	I feel motivated to take action(s) to protect nature (for example, unpaid participation in cleanups, nature monitoring programs, or teaching others about nature) Strongly disagree	I feel motivated to take action(s) to protect nature (for example, unpaid participation in cleanups, nature monitoring programs, or teaching others about nature) Disagree	I feel motivated to take action(s) to protect nature (for example, unpaid participation in cleanups, nature monitoring programs, or teaching others about nature) Agree	I feel motivated to take action(s) to protect nature (for example, unpaid participation in cleanups, nature monitoring programs, or teaching others about nature) Strongly agree	I feel motivated to take action(s) to protect nature (for example, unpaid participation in cleanups, nature monitoring programs, or teaching others about nature) Very strongly agree

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* 12. Please describe any way(s) we can improve your field trip experience.

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* 13. How likely is it that you would recommend this program to a colleague?

Extremely unlikely

Very unlikely

Unlikely

Likely

Very likely

Extremely likely

Extremely unlikely

Very unlikely

Unlikely

Likely

Very likely

Extremely likely

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* 14. How did you hear about our Terra Cotta Outdoor Education programs?

Word of mouth

Facebook

Google Ad

In-class presentation

Other (please specify)

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* 15. Participant feedback is important to us. We are always looking for positive experiences that we can share with future participants. Would you like to submit a testimonial based on your program experience?

Yes

No