Parent Weekly Survey – YES ShockTown

empowerment

confidence

WEEKLY SURVEY FORM

responsibility

role models

empowerment

confidence

WEEKLY SURVEY FORM

responsibility

role models

Parents Weekly Survey

Here’s a weekly feedback form tailored for the 4-week duration of your program. This will help you track progress and make adjustments as needed based on parents’ feedback.

We appreciate your feedback as we continue to ensure the best experience for your child. Please take a few moments to share your thoughts on this past week’s activities.

(1 = Not at all, 5 = Extremely Enjoyable)

Name

Please select the week this feedback applies to

1. How would you rate your child’s enjoyment of the program this week?

(1 = Not at all, 5 = Extremely Enjoyable)

2. Did your child share anything new they learned this week?

3. How would you rate the communication from staff about this week’s activities, schedule, or events?

4. Do you feel your child was well-supervised and safe during this week’s program?

5. Did you notice any positive changes in your child’s physical or social skills this week?

6. How satisfied are you with the staff’s interaction with your child this week?

7. Was there anything in the program this week that you feel needs improvement?

8. Do you feel the program is helping your child build confidence and skills?

9. How would you rate the facilities and equipment used this week?

10. Any additional comments or suggestions for improvement?

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