Workshop Feedback 

Your satisfaction is necessary to our success, and we welcome your feedback.

Your Name:  
School/Group:
Email:
Phone Number:
Workshop Topic:
Date of activity:
Mad Scientist (instructor):

Did Mad Science help you

to achieve your goal?

1   2   3   4   5
  Worst                            Best

Were you satisfied with 

the educational content?

1   2   3   4   5
Worst                            Best

Were the children engaged by the workshop/instructor?

1   2   3   4    5
Worst                            Best

Was the instructor able to harness the children's energy?

1   2   3   4   5
Worst                            Best
Do you feel you received good value for the budgeted dollars that were spent? 1   2   3   4   5
Worst                            Best
Did the instructor help initiate or heighten the children's interest in science? 1   2   3   4   5
Worst                            Best
Would you recommend Mad Science to others? Yes       No
Please check all that apply:
What if anything would you change about the workshop?

 

Which, if ay programs would interest you in the future?

Workshops     Assemblies/Events

Camps     After School Programs

May we use you as a reference? Yes       No
Comments: