Student Break Feedback Survey Form
Share feedback in the Student Break Feedback Survey Form to help improve future school breaks.
Grade or year level
*
Please Select
Elementary school
Middle school
High school
College or university
Other
Which break are you referring to?
*
How satisfied were you overall with the break?
*
Very dissatisfied
1
2
3
4
Very satisfied
5
1 is Very dissatisfied, 5 is Very satisfied
How restful did the break feel?
*
Not at all
1
2
3
4
Extremely
5
1 is Not at all, 5 is Extremely
How much time did you have for enjoyable activities?
*
Much too little
1
2
3
4
More than enough
5
1 is Much too little, 5 is More than enough
Which activities did you enjoy during the break?
*
Spending time with family
Spending time with friends
Hobbies
Reading
Outdoor activities
Travel
Resting
Other
What did you like most about the break?
*
Did you have enough time to prepare for returning to school?
*
Yes
Mostly
No
Not applicable
What is one thing you would change about a future break?
*
Any other feedback?
Submit Feedback
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