UGA Challenge Course Feedback Form Group:___________________________ Date:____________ Facilitators: _______________________________
Q1 What is your affiliation with UGA?
First Year Undergraduate Second Year Undergraduate Third Year Undergraduate Fourth Year Undergraduate Fifth Year or more Undergraduate Graduate Student- Master's Level
Graduate Student-Doctoral Level UGA faculty/staff UGA alumni Local Community Member partnering with UGA I am not affiliated with UGA Other___________________________________
Q2 Have you participated in a challenge (or ropes) course previously? Yes, here at UGA Yes, somewhere else No Q3 How did you hear about our challenge course program?
Friend UGA faculty/staff member A colleague Flyer/Brochure Email UGA Rec Sports Website Other (Please Specify) ____________________
Q4 Please rate the facilitation team on the following criteria: Statement Each element or activity was clearly explained to the group. I felt safe throughout my experience. The meaning of "challenge by choice" was clearly defined. The facilitators demonstrated professionalism in appearance and action. I felt supported as a group/team. I felt supported as an individual. During debriefing, the facilitators connected the experiences back to our goals. The experience was well organized.
Strongly Agree
Agree
Strongly Disagree
Disagree
Did Not Observe
Q5 Please rate the extent to which you agree with each statement: Statement
Strongly Agree
Agree
Strongly Disagree
Disagree
Did Not Observe
I learned how to listen and consider others' point of view. The challenge course helped our group to work together as a team. I now feel more comfortable speaking up and sharing in my group. Our group was able to communicate effectively during challenging activities. I am more confident in my ability to adapt to change. My group was able to identify challenges/obstacles while on the course. I have a better understanding of my own decision making processes. The content was practical and applicable. I would recommend this challenge course to others. Q6 How did our program compare to your expectations? Exceeded my expectations Met my expectations Below my expectations Q7 How would you rate your overall experience on the challenge course?
Excellent Good Fair Poor
Q8 What did you learn about yourself as an individual?
Q9 What did you learn about yourself as a group member?
Q10 What was your favorite moment? Least favorite?
Q11 How can our program be better? Please provide ideas for activities, course design, staffing, etc.
Q12 If you know of any person or group that may be interested in our challenge course, please leave us their name and/or contact information, so that we can tell them about this unique opportunity to achieve their goals!
