The
complete resource to help parents and professionals include ALL kids in summer camp
Special Needs Program Parent Satisfaction
Questionnaire
1.
Do you feel your child benefited from
inclusion at camp?
YES NO
MAYBE
2.
In what areas do you feel your child benefited?
_____ Self-esteem _____ Enjoyment
_____ Social Interaction _____
Independence
_____ Appropriate behavior _____
Other___________________________________________________________________
_____ Skill development ______________________________________________________________________________
3.
Do you think that children without disabilities can benefit from an inclusion
based camp?
YES NO
MAYBE
4. In what areas do you think that children
without disabilities benefited?
_____ Learning about individual differences _____ Self-esteem
_____ How to interact with someone with a
disability _____ Other
_________________________________________________
_____ Acceptance of other with disabilities _____________________________________________________________
5. Do you feel that inclusion interfered with
programming at camp?
YES NO
MAYBE
Why
or why
not?_______________________________________________________________________________________________
_____________________________________________________________________________________________________________
6. How effective was the Inclusion Facilitator
in facilitating the inclusion of your child?
_____ Very effective _____ Effective _____
Not effective _____ NA
In
what ways were they effective at facilitating
inclusion?______________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
7.
What did your child particularly like about
Camp?__________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
8.
Was there anything that your child did not like about Camp?_________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
9.
Do you have any suggestions for improving the Special Needs
Program?_______________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
10.
Do you have any suggestions as to how I can be a better Special Needs Director
for in camp for 2002?
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
11. Additional
comments?_______________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
Thank
you,
Brad
Gilbertson
Special
Needs Director
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