Independent Travel Training Evaluation Form

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* 1. What is your childs name?

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* 2. Please rate your travel training experience

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

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* 3. How confident are you in your child's ability to travel independently?

Extremely confident

Very confident

Somewhat confident

Not so confident

Not at all confident

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* 4. How confident are you in your own ability to help your child maintain their independence?

Extremely confident

Very confident

Somewhat confident

Not so confident

Not at all confident

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* 5. Please rate the travel trainer/ service in the following areas

	1	2	3	4	5
Timekeeping	Timekeeping 1	Timekeeping 2	Timekeeping 3	Timekeeping 4	Timekeeping 5
Communication	Communication 1	Communication 2	Communication 3	Communication 4	Communication 5
Instruction Given	Instruction Given 1	Instruction Given 2	Instruction Given 3	Instruction Given 4	Instruction Given 5
Presentation	Presentation 1	Presentation 2	Presentation 3	Presentation 4	Presentation 5

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* 6. How has this training impacted on your child's life?

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* 7. Are there any improvements you would recommend we make to the service?

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* 8. Would you recommend the service to other children and parents?

Yes

Independent Travel Training Evaluation Form

Question Title

* 1. What is your childs name?

Question Title

* 2. Please rate your travel training experience

Question Title

* 3. How confident are you in your child's ability to travel independently?

Question Title

* 4. How confident are you in your own ability to help your child maintain their independence?

Question Title

* 5. Please rate the travel trainer/ service in the following areas

Question Title

* 6. How has this training impacted on your child's life?

Question Title

* 7. Are there any improvements you would recommend we make to the service?

Question Title

* 8. Would you recommend the service to other children and parents?

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* 9. Any other comments or suggestions?