Email:
First Name:
Last Name:
This is my first time participating in a High Rocks program.
Yes
No
Please Add me to the High Rocks contact list.
Yes
No
Would you like to update your contact information?
Sure!
No thanks, I've been getting all the mailings and emails from High Rocks.
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Event or Program Name:
(e.g. High Rocks Academy, MLK Overnight, First2 Network, etc.)
Event Location
High Rocks Lodge, Hillsboro
The Hub, Lewisburg
Steele Studio, Richwood
Other
How did you hear about this event?
Without High Rocks I would have done this kind of thing on my own.
Yes
No
Maybe
Keep offering programs like this!
Yes
Yes, with changes
No
This program was:
Rows
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Experiential
Transformational
Project-based
Academically rigorous
Personal and self-reflective
Community building
Physically active
Deep/spiritual
A safe and challenging environment
An opportunity for youthvoice and leadership
Doing this:
Rows
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Helped me think in a new way
Taught me new skills
Challenged me
Made me feel more confident
Made me a better leader
Connected me with new people and new friends
Strengthened my relationship with caring adults
Will help me do better inschool
Made learning fun
Describe this experience in one word (or two!)
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On a scale of 1 to 5, 1 being terrible and 5 being awesome, rate this program overall.
1
2
3
4
5
Why did you choose this rating?
If High Rocks does this program again, these are the parts you should definitely keep...
Things I'd change about this program for next time...
What will you take away from this experience?
How might you use what you learned today to change the world?
Please provide feedback about your program facilitators and/or any other comments you have about the program.
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