Kauai NWRC - Learning Experience Feedback Form

OMB Control No. 1090-0011
Expires 10/31/2020

Kaua‘i National Wildlife
Refuge Complex
Educational Experience Feedback Form
Evaluating the success of Environmental Education and Interpretive Programs allows staff to
improve the quality of Refuge programs offered to our community. Thank you for taking this brief
survey. We welcome all comments and suggestions.
Name of Organization: ______________________________ Program Date: ___________________
Please answer questions about the program using a scale
1 (lowest quality) to 10 (highest quality).
Far Below
Expectations
1
1.

Ease of finding contact information
for requesting an education trip

2

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Met
Expectations
5

Exceeded All
Expectations
10

6

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8

9

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2.

Efficiency of corresponding with
Ranger prior to trip

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3.

Did those interactions prepare you
and group for your experience

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4.

Did your group learn valuable new
information

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How would you rate the overall
quality of the program

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5.

6. How well did the program meet your
learning objectives and expectations,
as identified prior to your visit
7. Was your group engaged by the
content of the program
8. Did it prompt inquiry and discussion
at a later time

See Reverse

9. What was the most memorable experience for your students/group? Least Meaningful?
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10. Do you have any suggestions for improving this program in the future?
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11. How likely are you to return to our Refuge? How likely are you to
recommend our programs to other educators?
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12. Did your group utilize the free bus charter courtesy of Friends of Kaua‘i Wildlife Refuges?
Did that assist in making your trip possible?
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13. Are there any other programs or resources that you would like offered by Kaua‘i National
Wildlife Refuge Complex?
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Additional Comments
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Mahalo for your Time and Valuable Feedback!

Paperwork Reduction Act Statement: We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C. 3501) to help staff
determine efficacy of program content as well as pre-trip expectation communication with groups leaders in order to create a more meaningful
environmental education for our community groups.. Your response is voluntary and we will not share your response publicly. We may not conduct or
sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB Control Number. OMB has reviewed
and approved this focus group and assigned OMB Control Number 1090-0011.
Estimated Burden Statement: We estimate it will take 7 minutes to complete this survey, including time to read instructions and gather information.
You may submit comments on any aspect of this information collection to the Service Information Collection Clearance Officer, U.S. Fish and Wildlife
Service, 5275 Leesburg Pike, MS: PRB (JAO/3W), Falls Church, VA 22041-3803, or via email at Info_Coll@fws.gov. Please do not send your