Name *

First Name

Last Name

Phone

(###)

###

####

Child's Name *

First Name

Last Name

Child's Birthday *

MM

DD

YYYY

How satisfied are you with the Made to Celebrate program? *

Completely Unsatisfied

Mostly Unsatisfied

Neutral

Mostly Satisfied

Extremely Satisfied

Do you feel that the program was meaningful and beneficial to your child(ren)? *

Yes

Somewhat

No

How would you rate the gifts your child received through the Made to Celebrate program and were they age-appropriate and suited to their interests and needs? *

0 Not at all age appropriate or suited their interests/needs

1

2

3

4

5 Extremely age appropriate and promoted positive interaction

How would you rate the communication from the Made to Celebrate team? *

Excellent

Good

Fair

Poor

Very Poor

Did you receive enough information and guidance on how to participate in the program? *

Yes

Somewhat

No

Did your child(ren) respond positively to the gifts and activities provided through the program? *

Yes

Somewhat

No

How convenient/easy was the process of participating in the program (e.g., sign-up, receiving items, etc.)? *

Very Easy

Somewhat Easy

Neutral

Somewhat Difficult

Very Difficult