This can be filled out by the caregiver, chaperone or home lead. Please fill out to the best of your ability for each child that attended our program.
How important is this program to your child’s overall quality of life?Not very importantSomewhat importantImportantVery important
How many Hanai outings did your child attend this year?1234567
If they were unable to attend one or multiple outings, what was the reason? (Select all that apply)SicknessVacationLack of transportationNot interested in month’s activityChild didn’t feel like going
Other reason(s) for not attending:_____
What does your child benefit from this program?
How many adult mentors have you developed a close bond to?12345+
Have you noticed your youth develop more leadership skills as a result of being in this program?YesNo
What are some personal benefits you’ve had from your youth’s involvement in this program?
What are some skills your child has learned from partaking in our program? (Select all that apply)SocialLeadershipAthleticCommunicationTrustTeamworkNone
More Skills Learned:_____
Before Hanai outings, what was typically your child's mood? (Select all that apply)CalmHappyExcitedContentIndifferentScaredSadNervousUpsetAngry
After Hanai outings, what was typically your child's mood? (Select all that apply)CalmHappyExcitedContentIndifferentScaredSadNervousUpsetAngry
On a scale of 1 to 10, how likely are you to recommend this program to another caregiver?12345678910
How do you think the Hanai program could improve to better fit your youth’s needs?
Would you like for your youth to be a part of the 2024 Hanai season?YesNoMaybe
Would you like to share a few final words to mentors?
We're not around right now. But you can send us an email and we'll get back to you, asap.
