Thank you for participating in the SayPro Development 5-Day Therapeutic Camp.
We greatly value your feedback as it helps us improve and tailor our therapeutic offerings to better serve all participants. This feedback form is designed to gather your insights and reflections on your experience with the activities, the overall program, and the progress you made during the camp. Additionally, we encourage caregivers to provide their observations, as they offer an important perspective on the participantβs journey.
Please take your time to complete the form, as your input is essential for enhancing our future programs.
Participant Information
- Participant’s Full Name:
First Name: _________
Last Name: _________ - Date of Birth:
MM/DD/YYYY: _________ - Name of Primary Caregiver (if applicable):
First Name: _________
Last Name: _________ - Email Address (optional):
Overall Experience
- How would you rate your overall experience with the SayPro 5-Day Therapeutic Camp?
β Excellent
β Good
β Fair
β Poor - What did you like most about the camp?
- What aspects of the camp do you think could be improved?
- Was the overall atmosphere at the camp welcoming and supportive?
β Yes
β No
β Somewhat Please provide any additional comments:
Therapeutic Activities
- Please rate the following therapeutic activities:
- Group Therapy Sessions
β Excellent
β Good
β Fair
β Poor Comments: - Physical Rehabilitation Sessions
β Excellent
β Good
β Fair
β Poor Comments: - Mindfulness & Relaxation Techniques
β Excellent
β Good
β Fair
β Poor Comments: - Creative Expression (Art Therapy, etc.)
β Excellent
β Good
β Fair
β Poor Comments: - Nature Walks/Outdoor Therapy
β Excellent
β Good
β Fair
β Poor Comments: - Other Therapeutic Activities (please specify): β Excellent
β Good
β Fair
β Poor Comments:
- Group Therapy Sessions
Progress & Personal Growth
- Do you feel that the camp helped you make progress toward your therapeutic goals?
β Yes, significantly
β Yes, to some extent
β No, not much progress was made
β No, I did not achieve my goals Please provide details or specific examples: - What specific areas of your physical or emotional health improved during the camp?
β Physical health (e.g., mobility, strength, flexibility)
β Emotional health (e.g., stress reduction, mood improvement)
β Mental clarity (e.g., focus, mindfulness, coping strategies)
β None of the above Comments: - Do you feel more confident in managing your therapeutic needs after attending the camp?
β Yes, I feel more confident and equipped
β Somewhat, I still have areas to work on
β No, I feel the same as before Please elaborate on your response:
Camp Staff & Environment
- How would you rate the camp staff in terms of professionalism and support?
β Excellent
β Good
β Fair
β Poor Comments: - Did you feel that the staff was attentive to your personal needs and concerns?
β Yes
β No
β Somewhat Please provide any additional comments or suggestions: - How would you rate the facilities and environment (e.g., accommodations, therapy spaces, outdoor areas)?
β Excellent
β Good
β Fair
β Poor Comments:
Logistics & Organization
- How would you rate the organization and flow of the camp schedule?
β Excellent
β Good
β Fair
β Poor Comments: - Was the camp schedule flexible enough to meet your individual needs?
β Yes, very flexible
β Yes, somewhat flexible
β No, not flexible enough Please explain your response: - Was there sufficient time for breaks, meals, and personal rest?
β Yes
β No
β Somewhat Comments:
Future Participation & Suggestions
- Would you recommend the SayPro 5-Day Therapeutic Camp to others?
β Yes, definitely
β Yes, with some reservations
β No Why or why not? - What suggestions do you have for improving the program for future participants?
- Is there anything else you would like to share about your experience with the camp?
Caregiver Feedback (if applicable)
- As a caregiver, how would you rate the impact of the SayPro 5-Day Therapeutic Camp on the participant’s progress?
β Excellent
β Good
β Fair
β Poor Comments: - Did you notice any changes in the participant’s behavior, mood, or physical ability since attending the camp?
β Yes, significant positive changes
β Yes, some positive changes
β No noticeable changes
β Other: _______________________ Please elaborate on your observations:
Thank you for taking the time to complete this feedback form.
Your responses are invaluable and will help us refine our therapeutic approach to better meet the needs of future participants. We appreciate your trust in SayPro and are committed to providing continued support on your healing journey.
Please submit the completed form to the camp coordinator or send it via email to [Insert Contact Information].
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