Youth Program Recognition Survey Form
Please provide your feedback to help us recognize and improve our youth program. Your insights are valuable and will remain confidential.
Your Name
*
First Name
Last Name
Your relationship to the program
*
Please Select
Participant
Parent/Guardian
Volunteer
Staff
Community Member
Other
Name of the Youth Program Recognized
*
Who or what are you recognizing in this program?
*
Overall, how satisfied are you with the youth program?
*
1
2
3
4
5
Please rate the following aspects of the program:
*
Rows
Excellent
Good
Fair
Poor
Quality of activities
1
2
3
4
Staff engagement
5
6
7
8
Program organization
9
10
11
12
Communication
13
14
15
16
How likely are you to recommend this youth program to others?
*
Not likely at all
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not likely at all, 10 is Extremely likely
What do you consider the greatest strengths of the program?
What areas could be improved in the program?
Additional comments or suggestions
Submit Feedback
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