Parent/Guardian Clinic Feedback

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Clinic Name:

Clinic Topic:

Instructors:

Your Child's Age:

1. What were your hopes/expectations for this clinic? Do you feel that they were met? Why or why not?

2. Did your family member or client feel comfortable and successful in this clinic? What in particular did or did not work?

3. What other clinics would you like to see offered? For what age group?

4. Any suggestions about how we can improve our clinics?

5. Would you like to offer a comment for us to use in our publications?

6. Would you like us to respond to your comments?

If yes, please provide the following information:

Name:

Phone:

Email:

Clinic Name:

Clinic Topic:

Instructors:

1. What was the best thing about clinic?

2. What was the hardest thing about clinic?

3. What would you have liked to learn about that we didn’t cover?