Summer Program Electives Survey
Help us plan your summer experience by sharing your elective preferences and feedback.
Student Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Session or Grade Level
*
Please Select
Middle School
High School
Incoming Freshman
Other
Preferred Elective #1
*
Please Select
Art & Design
Robotics & Coding
Drama & Theater
Sports & Fitness
Music & Band
Creative Writing
Other
Preferred Elective #2
*
Please Select
Art & Design
Robotics & Coding
Drama & Theater
Sports & Fitness
Music & Band
Creative Writing
Other
How interested are you in the following electives?
*
Rows
Not Interested
Somewhat Interested
Very Interested
Art & Design
1
2
3
Robotics & Coding
4
5
6
Drama & Theater
7
8
9
Sports & Fitness
10
11
12
Music & Band
13
14
15
Creative Writing
16
17
18
Please rate your overall satisfaction with the electives offered.
*
1
2
3
4
5
Are there any electives you wish were offered but are not listed?
Do you have any scheduling conflicts or special requests regarding electives?
Would you be interested in participating in additional afternoon workshops or clubs?
Yes
No
Maybe
Any other comments or suggestions?
Submit Survey
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