Sample -- Exit InterviewName: ________________________________________ Date: _______________ How I feel I have benefited from this program: ___________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ What I liked the most: ______________________________________________________ _______________________________________________________________________ _______________________________________________________________________ What I would change: _______________________________________________________ _______________________________________________________________________ _______________________________________________________________________ What advice would you give others registering for this program? _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Would you recommend this program to others? Why? Why not? ______________________ _______________________________________________________________________ _______________________________________________________________________ Have your interests changed or have new interests developed for you, from being in the program? _______________________________________________________________________ _______________________________________________________________________ How has your child benefited by coming to the program? ____________________________ _______________________________________________________________________ _______________________________________________________________________ Have your child's interests changed developed in the way s/he is at home (drawing, books, etc)? _______________________________________________________________________
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