Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Equine Assisted Services
Equine Assisted Services
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name (optional)
Your answer
How satisfied is your child with the equine (horse) program?
Enjoys It
Excited to talk about it
Neutral
Dislikes it
Have you noticed any improvements in the following areas? Check all that apply.
Confidence (ie. trying new activities, speaking up more...)
Emotion Regulation (i.e. managing frustrations, staying calm, fewer outbursts)
Social Skills (i.e. increased positive interactions with peers; taking turns; fewer conflicts)
Focus/Concentration (i.e. staying on task; following directions; improved concentration)
Other:
Please share how you feel overall about the equine program (positive or negative).
Your answer
May we use your response above in future presentations, social media, posters etc?
Yes
No
Clear selection
Additional comments/Suggestions
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pawnee ISD.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
