Inner Beauty Parent Survey

Inner Beauty Parent Survey
Name

First NameLast Name
Email
example@example.com
The overall program
Assigned Life-coach
The mission statement
Difference you see in yourself since attending Inner Beauty
Feedback you receive from the Life-Coach
Clarity of expectations about how you should behave while in the program
Activities the program offers
Communication between you and your mentor
Parent(s) opportunity to get involved
Parent Support
The Inner Beauty Pageant
Parent Meetings
Child’s views about the program
Child’s willingness to participate
Parent(s) intentions to continue the program.
16). What do you like best about Inner Beauty?
17). What improvements would you like to see?
18). Additional Comments
I CERTIFY THAT I HAVE READ THIS DOCUMENT, AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS ISA RELEASE OF LIABILITY AND A CONTRACT AND ISIGN OF MY OWN FREE WILL.
(Child's Name)
(Parent/Guardian's Signature)
(Parent/Guardian's Printed Name)
(Date)

MonthDayYear
Date
Should be Empty: