After School Program Questionnaire 

We at Mad Science are commited to providing the finest in children's science programs.  As a Mad Science customer, your opinion is important to us.  Please take a moment to answer to following questions.

We will enter your name into a drawing to receive a FREE Mad Science after school class for your child.  This will allow your child to attend a full session of Mad Science at his or her school.  Thank you for your time.

First Name
Last Name
School Name
Grade level of child attending
Phone Number
Email Address

 

Did Mad Science help you to achieve your goal?  (I.e.: educational and entertaining extra-curricular programming, etc.)

 

 

Did your child’s enjoy attending the program?

 

 

Was the instructor able to harness your child’s energy?

 

 

Do you feel you received good value for the price of the program?

 

 

Did Mad Science help initiate or heighten your child’s interest in science?

 

 

Were you satisfied with the program overall?

 

 

Would you recommend Mad Science to others?

 

May we use you as a reference?

 Please check all that apply:

What, if anything, would you change about the program?

Arrival Time Clean-up Demonstrations
Equipment Explanations Hands-on activities
nstructor Take home activies Take home sheets

Which, if any, programs would intrest you in the future?

After School Programs Birthday Parties
Pre-School Programs School Assemblies
Summer Camps Workshops (in class field trips)