Summer Program Preference Survey
Help us design a summer program that suits your interests by sharing your preferences and feedback.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Age
*
Preferred contact phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Which session(s) are you interested in attending?
*
Morning (9am-12pm)
Afternoon (1pm-4pm)
Full Day (9am-4pm)
Which types of activities are you most interested in? (Select all that apply)
*
Sports & Outdoor Games
Arts & Crafts
Science & Technology
Performing Arts (Music, Drama, Dance)
Nature & Environment
Other
Please rate your interest in the following activities:
*
Rows
Not Interested
Somewhat Interested
Very Interested
Team Sports
1
2
3
Painting & Drawing
4
5
6
Robotics & Coding
7
8
9
Drama & Theater
10
11
12
Nature Walks
13
14
15
Do you prefer to participate in activities:
*
Individually
In small groups
No preference
Have you attended a summer program before?
*
Yes
No
How would you rate your overall excitement about joining the summer program?
*
1
2
3
4
5
Do you require transportation to and from the program?
Yes
No
Please share any additional comments, suggestions, or special needs.
Submit Survey
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