4. Visitor Feedback Form

   Please tell us about your experience today.

6. Date and time of your visit.*
   Date and time of your visit.

   Date and time of your visit.
8. Your Name (optional)
9. Registrant Email (optional)

   If you would like us to contact you please provide your email.

11. Name of staff member
    -- Select One --David BirdsongBlake ClineBryan HardyEthan HedgesStephen HyattTim KielyAnthony MaldonadoChris RaybornRene RodriguezDon ScottLauren TippettAndrew ValentiniJennifer TramelMelissa VanToorn (Safety Lady)Leslie Girdner Other -- I'll write in the name in comments
12. If needed, write in your instructor's name or provide a short description if you do not know.

     

14. What type of program did you attend?*
    -- Select One --Guided TourSchool Study Trip ProgramSafety Walk & Ride Spring Break or SummerSaturday Safety Event Home School ProgramOther
16. How would you rate the program today?*

    1. Great! I wouldn't change a thing.
    2. It was okay, but could be a little better.
    3. Not great! Needs improvement.
17. How would you rate your instructor/guide?*

    1. Great! We loved him/her.
    2. He/she did okay but could use some improvement.
19. How can we improve?

    Please let us know your thoughts to help our instructors and our programs improve.  

21. Thank our volunteers!

    If we can offer any words of praise to a specific volunteer, please share that with us.

23. Comments

    Please provide any additional comments you may have.

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field