Teacher Name 

School Name 

Date of Program 

Was this program delivered at CEC (field trip)? 

Grade 

Title of Program (if known)   

Leaders (if known) 

Please rate the following questions on a 1-5 scale (1=not satisfied, 5=extremely satisfied).

How would you rate the overall program? 

Additional Comments 

Did the program meet the Indiana/Ohio Academic Standards you expected? 

Additional Comments 

Were the facilities adequate for your visit (if applicable)? 

Additional Comments 

Do you think the prices for our programs are reasonable? 

Additional Comments 

Please answer the following questions in the space provided.

What influenced you to choose call Cope Environmental Center for your programmatic needs? 

How could our facility better meet your needs (if applicable)?  Likes or dislikes? 

Are you planning any follow up to the field trip (in the classroom)? 

Are you planning to take advantage of CEC's programs more than once this year?   

Would you be interested in participating in a program presented by CEC in the future?

If interviewed by a reporter, how would you describe your experience and the quality of the program?  May we use your quote?

Thank you for your time to help us improve!  We truly value your honesty and effort!