Activity Feedback Form

We hope that you found this activity enjoyable. It would be helpful if you could take a moment to fill in the form below to let us know whether there are any aspects that you feel could be improved upon or changed.

    Name of activity (required)

    Date of activity (required)

    Please highlight how low or high you rated the service overall (0 = lowest 5 = highest)

    Activity content
    012345

    Facilitator
    012345

    Venue
    012345

    Time of activity
    012345

    What did you like most about the activity?

    What did you like least about the activity?

    Is there anything we could do to improve your experience?

    Any further comments or concerns?

    Name (optional)

    Do you consent to this information being shared with the facilitator?
    YesNo