Feedback Form

Submit your feedback for the Rock Gym

Thank you for participating in our programs at the La Vida Rock Gym! We hope you had a positive experience and we welcome any feedback you can provide.

1. Type of program attended:

Private event (birthday party, scout group, etc.)
Open Gym (public climbing hours)
Climbing course (e.g. multi-week school program)
Climbing lesson (private or semi-private)
Climbing Camp (1-3 days)
Other

2. Date of program or event:

3. Name of group, school, program, etc. (if applicable):

4. Approximate age of participants:

5. Your name:

6. Registration or pre-program contact:

Excellent
Good
Fair
Poor
N/A

7. General appearance of facility

Excellent
Good
Fair
Poor
N/A

8. Atmosphere of the event/program:

Excellent
Good
Fair
Poor
N/A

9. Pace of the event/program:

Excellent
Good
Fair
Poor
N/A

10. Quality of activities:

Excellent
Good
Fair
Poor
N/A

11. Quality and effectiveness of staff:

Excellent
Good
Fair
Poor
N/A

12. Your overall satisfaction:

Excellent
Good
Fair
Poor
N/A

13. How well did the event/program meet your expectations?

Exceeded my expectations
Met my expectations
Did not meet my expectations

14. Comments or other feedback about your experience:

15. How did you hear about the La Vida Rock Gym?

16. Would you like to receive occasional email newsletters from the La Vida Rock Gym about news and events?

Yes
No

17. Email address: