Extracurricular Activities Feedback Form
Share your feedback to help us improve our extracurricular programs.
Participant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Grade or Year Level
Please Select
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other
Name of the Activity
*
Date of the Activity
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How did you hear about this activity?
Please Select
School Announcement
Teacher/Staff
Friends/Peers
Posters/Flyers
Other
Please rate the following aspects of the activity:
*
Rows
Excellent
Good
Average
Poor
N/A
Organization
1
2
3
4
5
Enjoyment
6
7
8
9
10
Learning Value
11
12
13
14
15
Facilities/Resources
16
17
18
19
20
Staff Support
21
22
23
24
25
How satisfied are you with the overall experience?
*
1
2
3
4
5
What did you enjoy most about the activity?
Do you have any suggestions for improvement?
May we use your feedback (anonymously) for promotional or improvement purposes?
*
Yes, I consent.
No, please keep my feedback confidential.
Submit Feedback
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