Title Mr Mrs Ms Miss
Surname
Forname
Address
Post Code
Telephone Number
Email address
Activity /Course Attended
Childs D.O.B.
Did your child enjoy the activity? very much yes no not all all
What in particular did your child like/dislike about the activity?
Do you think the activity was pitched at a level suitable to the age of the child? yes no
Would your child be interested in attending this activity/course again? yes no
Do you have any suggestions on how we can improve it for next time?
How would you rate the staff delivering the activity? excellent good fair poor very poor
How would you rate the cost of the activity? excellent good fair poor very poor
How would you rate the facilities? excellent good fair poor very poor
What other activities would you like to see available at the centre?
Would you like to receive information on further activities? yes no

Activity Feedback Form