Extracurricular Program Effectiveness Assessment
Help us evaluate and improve our educational extracurricular programs by sharing your feedback.
Your Full Name
*
First Name
Last Name
Your Role in the Program
*
Please Select
Student
Parent/Guardian
Teacher/Facilitator
Other
Program Name Attended or Evaluated
*
Date of Program Participation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Overall Satisfaction with the Program
*
1
2
3
4
5
Please rate the following aspects of the program:
*
Rows
Excellent
Good
Average
Poor
Program Content
1
2
3
4
Quality of Instruction
5
6
7
8
Engagement/Activities
9
10
11
12
Facilities/Resources
13
14
15
16
Communication
17
18
19
20
How has this program impacted you or your child? (Select all that apply)
*
Improved academic skills
Enhanced social skills
Increased motivation/interest
Boosted confidence/self-esteem
No noticeable impact
Other
Would you recommend this program to others?
*
Yes
No
Not sure
What did you like most about the program?
What improvements would you suggest for future programs?
Submit Assessment
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