UCSD Challenge Course Feedback Request

Thanks for bringing your group to the UCSD Challenge Course. We value your feedback. Please take a few moments to share your experience. You can complete this form online and your responses will be sent to us.

Group Name (Read Only) *

Were you satisfied with your group's overall experience at the UCSD Challenge Course? *

	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied
*	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied

How was the Challenge Course program beneficial to you or your group? *

What did we do well? *

What can we improve on? *

Testimonial/Stories/Kind words-please consider writing a testimonial that we can share with others. Hearing about your experience in your words really helps potential clients understand the value of a program at the UCSD Challenge Course.

Feedback for your program facilitators *

	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied
Professionalism	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied
Preparedness and organization	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied
Communication style	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied
Ability to encourage and support group members	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied
Concern for safety	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied

Additional comments or feedback for specific facilitators.

Do you have any safety concerns about our program, staff or facility? *

Please share your concerns *

0/255 characters

How did you hear about the UCSD Challenge Course? *

First Name *

Last Name *

Email Address: *

Date of your program? * +

As a thanks for your feedback, we would like to send you a thank you gift. Please enter your address information below and we will mail it to you shortly.

Street Address *

UCSD Mailcode (if applicable)

City *

State *

Zip Code *

Web search	Email listserv
Recommended by previous UCSD Challenge Course participant/client	Printed flyer
I am a returning client	Attended open house
Other: Other: