Adult Participant Form
This is my first time participating in a High Rocks program.
Please add me to the High Rocks contact list.
Would you like to update your contact information?
No thanks, I've been getting all the mailings and emails from High Rocks.
This program was...
Personal and self-reflective
A safe and challenging environment
Without High Rocks I would have done this kind of thing on my own.
Keep offering programs like this!
Yes, with changes
Helped me think in a new way
Taught me new skills
Made me feel more confident
Connected me with new people
Describe this event in one (or two) words
On a scale of 1 to 5, 1 being terrible and 5 being great, rate this program overall.
Why did you choose this rating?
If you do this program again, these are the parts you should definitely keep...
Things I'd change about this program for next time...
Write a short paragraph about what you will take away from this experience.
Please provide feedback about your program facilitators and any other comments you have about the program.
Would you like to give us any additional feedback?
Should be Empty: