The Care and Adventure Summer Camp Feedback Form

General Information

Camper Name

Camp Session/Dates

Parent/Guardian Name

Email Address

Phone Number

Activity & Environment Feedback

Please rate the following on a scale of 1 to 5 (1 = Poor, 5 = Excellent)

Category

Rating

A
B
1
Quality of Activities
2
Safety and Supervision
3
Food and Nutrition
4
Staff Friendliness/Helpfulness
5
Overall Camp Experience

Medical & Medication Administration Review

This section is crucial for our medical team to ensure all health requirements were met during your child's stay.

 

Please list the medications your child was scheduled to receive:

Medication Name

Prescribed Dosage (e.g., 10mg)

Frequency/Time (e.g., 2x daily, Morning)

Was this administered correctly?

A
B
C
D
1
 
 
 
 
2
 
 
 
 
3
 
 
 
 
4
 
 
 
 
5
 
 
 
 

Medical Staff Feedback

How would you rate the communication from the camp medical team?

Excellent

Satisfactory

Needs Improvement

Did you feel your child’s health needs/allergies were taken seriously?

Yes

No

N/A

Comments on Medical Care: (Space for notes regarding any specific health incidents or administration concerns)

Staff and Counselor Evaluation

Who was your child’s primary counselor?

Did the staff help your child feel included and safe?

Always

Mostly

Sometimes

Never

What is one thing a staff member did that made a positive impact?

Open-Ended Feedback

What was the highlight of the camp for your child?

What is one area where the camp could improve for next year?

Would you recommend this camp to other families?

Yes

No

Maybe

Signature & Submission

Parent/Guardian Signature

Form Template Insights

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Detailed Insights on the Summer Camp Experience & Health Feedback Form Template

This form serves as a vital bridge between the camp's operational activities and the family's expectations. By looking deeper than just "stars and ratings," the form provides a roadmap for excellence in care and programming.

1. Quality Control of Health Protocols

The most significant insight this form provides is a verification loop for medical care. By asking parents to list specific doses and frequencies, the camp can perform a "blind match" against their own medical logs.

  • The Benefit: It ensures that what the parent authorized at the start of summer matches what was delivered. If a parent notes a 10mg dose but the camp log shows 5mg, it highlights a need for better communication or training in the infirmary, ensuring the child's physical health remains the top priority.

2. Operational Clarity and Staff Performance

The section regarding Staff and Counselor Evaluation provides a direct look into the "human element" of the camp.

  • The Benefit: It identifies whether the staff-to-camper bond was strong enough to make the child feel secure. Since the form asks for a specific positive impact, it helps leadership recognize and reward high-performing counselors while identifying those who may need more support in building inclusive environments.

3. Safety Perception vs. Reality

The Safety and Supervision rating acts as a barometer for the camp’s environment.

  • The Benefit: Even if no physical incidents occurred, a low rating here reveals a "perceived safety" issue. This insight allows directors to adjust how they communicate safety measures to parents, ensuring that families feel their children are in a protective and well-monitored space.

4. Nutrition and Energy Levels

Feedback on Food and Nutrition is more than just about taste; it’s about fuel.

  • The Benefit: Campers participating in high-energy activities need proper caloric intake. If ratings are low, it could explain why campers might feel fatigued or why medical staff saw an increase in minor headaches or low energy. This insight helps the kitchen staff refine menus to better support the physical demands of the camp.

5. Future-Proofing the Camper Journey

The Open-Ended Feedback section provides qualitative data that numbers cannot capture.

  • The Benefit: It captures the "spirit" of the camp. By understanding the "highlight of the camp," directors can lean into those successful activities next year, ensuring the camp continues to evolve in a way that resonates with its community.


Mandatory Questions Recommendation

Please remove this mandatory questions recommendation before publishing.


In the Summer Camp Experience & Health Feedback Form, the following questions are considered mandatory. These ensure the integrity of your data and the safety of the campers for future sessions.

Mandatory Questions & Core Rationale:

1. Camper Name and Session Dates

  • Why: Without this, the feedback is "noise." To act on specific medical or behavioral feedback, you must be able to trace the response back to a specific timeframe and individual. It allows you to cross-reference the feedback with your internal logs (such as the daily medical log) to verify consistency.

2. Medication Name, Dosage, and Frequency

  • Why: This is the most critical data point for health quality control. By asking the parent to restate the exact dose and timing, you are performing a "double-check" against what your staff recorded. It identifies any discrepancies between the parent's expectations and the camp’s execution, ensuring that health protocols are precise and reliable.

3. "Was this administered correctly?" (Yes/No Toggle)

  • Why: This provides an immediate "red flag" indicator. A "No" response here serves as an instant trigger for an internal review. It forces a clear confirmation of whether the camp met its most basic duty of care regarding physical wellbeing, making it easier to filter for urgent issues that require a follow-up call.

4. Safety and Supervision Rating

  • Why: This metric is the foundation of trust. If a parent rates safety poorly, it outweighs any positive feedback about activities or fun. Understanding the perception of supervision helps you identify if staff-to-camper ratios felt appropriate or if there were "blind spots" in the camp’s daily routine.

5. Parent/Guardian Contact Information

  • Why: Feedback—especially regarding health and medicine—often requires a two-way conversation. If a parent notes a change in how a medication was received, the camp needs a direct line to discuss the details, clarify the medical routine, and improve the process for the next session.


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