Evaluation Form

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Evaluation Form

Programme Basics

Q1. Trip Name

Q2. Branch

Q3. Number of Participants

Q4. Standalone or Series Programme

Q5. Start Date

Q6. Number of Programme Days

Q7. Who is filling out this form?

Q8. Gender of participants

Q16. Did you visit DOC land or facilities?

Q17. Did you visit Auckland Regional Council parks?

Q9. Age of Participants

0 - 4 Years old

5 - 9 Years old

10 - 12 Years old

13 - 18 Years old

19 - 25 Years old

26 - 45 Years old

46 - 65 Years old

66+ Years old

Q10. Ethnicity of Participants

NZ European

Other European

NZ Māori

Pacific Island

Asian

Indian

African

Latin American

Middle Eastern

Other

Q11. Regions of participants

Canterbury

North Auckland

East Auckland

South Auckland

West Auckland

Central Auckland

North Island but not from Auckland

South Island but not from Christchurch

Overseas Clients / International

Q12. Equipment/vehicle loss or damage details

Q13. Outcomes forms collected

Q14. Barriers to collecting outcomes

Q15. Participant Days by Activity

Swimming

Alpine

Alpine trekking

Ski and Snow Sports

Snow Sliding

Bush

Cave

Cycling - Road

Cycling - Trail

Cycling - Mountain Biking

Canyoning

Coasteering

Flat Water - Sit on top kayak

Flat Water - Kayak (rudderless)

Flat Water - Canoe

Flat Water - Raft Building

Sea Kayaking

Snorkelling

Surfing

Boogie Boarding

Surf Kayaking

White Water Kayaking

White Water Rafting

White Water Tubing

Flying Kiwi

High Ropes

Low Ropes

Initiatives

Rock Climbing - Indoor

Rock Climbing - Outdoor

Abseil

Tyrolean Traverse

Other

ARC Parks (Q18-Q46)

ARC Visit 7

Q18. Date you were in the ARC Park

Q19. Activity

Q20. Park Name

Q21. Total people in ARC Park

ARC Visit 7

Q23. Date you were in the ARC Park

Q24. Activity

Q25. Park Name

Q26. Total people in ARC Park

ARC Visit 7

Q28. Date you were in the ARC Park

Q29. Activity

Q30. Park Name

Q31. Total people in ARC Park

ARC Visit 7

Q33. Date you were in the ARC Park

Q34. Activity

Q35. Park Name

Q36. Total people in ARC Park

ARC Visit 7

Q38. Date you were in the ARC Park

Q39. Activity

Q40. Park Name

Q41. Total people in ARC Park

ARC Visit 7

Q43. Date you were in the ARC Park

Q44. Activity

Q45. Park Name

Q46. Total people in ARC Park

DOC Conservation Sites (Q47-Q105)

DOC Site 7

Q47. Start date

Q47. Start time (hh:mm AM/PM)

Q48. End date

Q48. End time (hh:mm AM/PM)

Q49. Activity on DOC site (tick all that apply)

Walking

Tramping

Camping

Accommodation - Hut

Kayak Landing

Abseiling

Rock Climbing

Rafting

Other

Q50. Location of DOC Site

Q51. Name of Walking Track

Q52. Name of Campsite or Hut

Q53. Number of Adults (18+)

Q54. Number of Children (Under 18)

Q55. Number of Leaders/Guides/Instructors

DOC Site 7

Q57. Start date

Q57. Start time (hh:mm AM/PM)

Q58. End date

Q58. End time (hh:mm AM/PM)

Q59. Activity on DOC site (tick all that apply)

Walking

Tramping

Camping

Accommodation - Hut

Kayak Landing

Abseiling

Rock Climbing

Rafting

Other

Q60. Location of DOC Site

Q61. Name of Walking Track

Q62. Name of Campsite or Hut

Q63. Number of Adults (18+)

Q64. Number of Children (Under 18)

Q65. Number of Leaders/Guides/Instructors

DOC Site 7

Q67. Start date

Q67. Start time (hh:mm AM/PM)

Q68. End date

Q68. End time (hh:mm AM/PM)

Q69. Activity on DOC site (tick all that apply)

Walking

Tramping

Camping

Accommodation - Hut

Kayak Landing

Abseiling

Rock Climbing

Rafting

Other

Q70. Location of DOC Site

Q71. Name of Walking Track

Q72. Name of Campsite or Hut

Q73. Number of Adults (18+)

Q74. Number of Children (Under 18)

Q75. Number of Leaders/Guides/Instructors

DOC Site 7

Q77. Start date

Q77. Start time (hh:mm AM/PM)

Q78. End date

Q78. End time (hh:mm AM/PM)

Q79. Activity on DOC site (tick all that apply)

Walking

Tramping

Camping

Accommodation - Hut

Kayak Landing

Abseiling

Rock Climbing

Rafting

Other

Q80. Location of DOC Site

Q81. Name of Walking Track

Q82. Name of Campsite or Hut

Q83. Number of Adults (18+)

Q84. Number of Children (Under 18)

Q85. Number of Leaders/Guides/Instructors

DOC Site 7

Q87. Start date

Q87. Start time (hh:mm AM/PM)

Q88. End date

Q88. End time (hh:mm AM/PM)

Q89. Activity on DOC site (tick all that apply)

Walking

Tramping

Camping

Accommodation - Hut

Kayak Landing

Abseiling

Rock Climbing

Rafting

Other

Q90. Location of DOC Site

Q91. Name of Walking Track

Q92. Name of Campsite or Hut

Q93. Number of Adults (18+)

Q94. Number of Children (Under 18)

Q95. Number of Leaders/Guides/Instructors

DOC Site 7

Q97. Start date

Q97. Start time (hh:mm AM/PM)

Q98. End date

Q98. End time (hh:mm AM/PM)

Q99. Activity on DOC site (tick all that apply)

Walking

Tramping

Camping

Accommodation - Hut

Kayak Landing

Abseiling

Rock Climbing

Rafting

Other

Q100. Location of DOC Site

Q101. Name of Walking Track

Q102. Name of Campsite or Hut

Q103. Number of Adults (18+)

Q104. Number of Children (Under 18)

Q105. Number of Leaders/Guides/Instructors

Final Questions (Q106-Q108)

Q106. Notices for Monday Morning Meetings

Q107. Uploaded programme photos to AST Photos drive?

Q108. Follow-up actions / anything else to pass on

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