Riders And Striders Safety Course Feedback Sheet

Please take a few minutes and let us know what you thought of our materials you received. Your comments are greatly appreciated and help us in producing and providing useful resources to ensure all children are Safety Smart.

1. What date was the Safety Course held?
2. How many children participated in the course?
3. How many volunteers assisted with the course?
4. Were the resources helpful? Yes
No
5. What resources were most useful?


6. What resources were least helpful?


7. What organization helped with the Safety Course?


8. Can you list below additional comments or suggestions for improving the safety course guidebook or the resources provided?


9. If the Safety Course was planned and presented by young people, please indicate below to receive more information about how to report the project work for recognition through Riley Hospital's Hoosiers Community Heartbeat Awards.
Safety Course was planned and presented by young people
Safety Course was NOT planned and presented by young people

Please fill out the below information to be added to our records. Thanks.
Name:
E-mail:
Address:
City:
State:
Zip:
Phone:


[Keywords: safety smart]

US News - America's Best Children's Hospitals 2008 America's Top Doctors

Copyright © 2000-2008
University Pediatric Associates, Inc.
Riley Hospital for Children
702 Barnhill Dr. Room 5900
Indianapolis, IN 46202

Web Design: NetMediaOne