Feedback Form

La Vida Rock Gym Evaluation Form

Thank you for participating in our programs at the La Vida Rock Gym! We hope you had a positive experience and we welcome any feedback you can provide.

1. Type of program attended:

	Private event (birthday party, scout group, etc.)
	Open Gym (public climbing hours)
	Climbing course (e.g. multi-week school program)
	Climbing lesson (private or semi-private)
	Climbing Camp (1-3 days)
	Other

2. Date of program or event:

3. Name of group, school, program, etc. (if applicable):

4. Approximate age of participants:

5. Your name:

6. Registration or pre-program contact:

	Excellent
	Good
	Fair
	Poor
	N/A

7. General appearance of facility

	Excellent
	Good
	Fair
	Poor
	N/A

8. Atmosphere of the event/program:

	Excellent
	Good
	Fair
	Poor
	N/A

9. Pace of the event/program:

	Excellent
	Good
	Fair
	Poor
	N/A

10. Quality of activities:

	Excellent
	Good
	Fair
	Poor
	N/A

11. Quality and effectiveness of staff:

	Excellent
	Good
	Fair
	Poor
	N/A

12. Your overall satisfaction:

	Excellent
	Good
	Fair
	Poor
	N/A

13. How well did the event/program meet your expectations?

	Exceeded my expectations
	Met my expectations
	Did not meet my expectations

14. Comments or other feedback about your experience:

15. How did you hear about the La Vida Rock Gym?

16. Would you like to receive occasional email newsletters from the La Vida Rock Gym about news and events?

	Yes
	No

17. Email address:

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Connect with Gordon

Gordon College, 255 Grapevine Road, Wenham, MA 01984
978 867 4000 | [email protected] | [email protected]

Gordon College is New England’s top Christian college, located on the North Shore of Boston in Wenham, MA.

866-665-1780