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Summer Solutions - Specializing in happy campers since 1984!

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Camper Feedback Form Please complete and return this survey at your earliest convenience via fax, mail or this online form. Completing this survey helps us greatly with our free service and our evaluation of each program. Please complete this survey for each child and/or program attended. Thank you!
Parent Info:
Title:
First Name:
Last Name:
Phone:	E-Mail Address:

Camper Information:
Camper's First Name:
Camper's Last Name:
Date of Birth:
Current Grade:
Gender:	Male	Female
Camp/Program Attended:
Length of Session:
1st Time Camper?	Yes	No
Did anyone else attend the same camp/program because of your recommendation?	Yes	No
If yes, please indicate:	Name: Age: Grade:
General Program Questions:
Did the Camp/Program meet your expectations? Please explain.
Please evaluate your impression of the facilities.
Please evaluate your impression of the staff.
Please evaluate your impression of the program.

Please provide any additional comments, criticisms or compliments about the camp/program.

Overall, did your child have a positive experience?	Yes	No
Do you plan to have your child attend the same camp/program next summer?	Yes	No
Please list any siblings who will also attend:	Name: Age: Grade:
Would you like us to call you to help plan next summer?	Yes	No


Please provide us with any other important information or comments.
Your confidentiality and privacy are important to us. Therefore, we will not share your name or contact information with the program. We simply use your feedback to help us update our records regarding the program you child attended.