After School Programs 
Your satisfaction is necessary to our success, and we welcome your feedback.
Name:  
Email:
Phone Number:
Activity:
Date of activity:
Mad Scientist(instructor):
  Professionalism   1  2  3  4  5
   Did we meet your expectations        Worst                            Best
   with courtesy and promptness?
  Educational Impact  1  2  3  4  5

   Did your child gain interest and

Worst                            Best
   excitement of science?
  Enjoyment  1  2  3  4  5
  Did your child enjoy the program and Worst                            Best
  the take home projects?
  Value  1  2  3  4  5
   Do you feel your event was good Worst                            Best
   value for the money?
Would you recommend Mad Science to a friend? Yes        No
May we share your comments with future customers? Yes        No
Comments: