La Vida Center for Outdoor Education & Leadership
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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:

7. General appearance of facility

8. Atmosphere of the event/program:

9. Pace of the event/program:

10. Quality of activities:

11. Quality and effectiveness of staff:

12. Your overall satisfaction:

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: