Logistics Survey

Program Logistics Survey

Thank you for taking the time to fill out this survey! This form requests information on what works best for your family so we can better plan programs that fit within our families' needs and interests.
Carrie Tingley Hospital Patient Name

First NameLast Name
Guardian Name

First NameLast Name
Which days of the week work best for your child/family to attend programs? Select all that apply.
What times of day are easiest for your child/family to attend programs?
How long of a program would your child/family prefer? (outside of events like Camp Adventure, Day of the Tread, etc. that are longer times)

Other
How often would your child/family prefer to participate in programs?
What types of programs is your child/family most interested in? Select all that apply.

Other
How long has your child/family been attending programs with the Foundation? Please indicate years/months.
For example, 5 years, or 5 months
Additional notes:
Should be Empty:

Program Logistics Survey