This free survey is powered by
0%
Exit Survey
 
 
Leader evaluation form
 
 
Please fill out this form completely and return it to the Sprout office within one (1) week of the return of your trip. You can fill it out electronically or print and handwrite it. If there is any evaluation or comment you would like to discuss with the office, please feel free to contact us.
 
 
Your name:
   
 
 
Trip name:
   
 
 
Trip Code
   
 
 
Trip dates:
   
 
 
Co-leaders' names:
   
 
 
Participant evaluation
 
 
Please comment on each participant on your trip. The information you provide is given to the leaders of future trips, so please include both positive and negative points and any insights you may have in working with each person.

ADL (hygiene, grooming, toileting, money skills, medication): Check the boxes and let us know dependent on the leaders is this participant. Add any relevant information about ADLs. Behavior: General demeanor. Any behavior problems? Did they have specific likes and dislikes? How appropriate are they for future Sprout trips? If not, why? Problems with the agency: Were there enough clothes and meds packed for this participant? Were they dropped-off and picked-up on time? Other comments: Any illness while on the trip? Any tips or special methods of working with this participant? Any dietary problems? Anything else you feel we should know?
 
 
 
1 Name
   
Share This Survey:          Online Survey Software Powered by  QuestionPro Survey Software