Open Doors Exit Survey


Thank you so much for taking the time to complete this survey! Your responses to these questions help demonstrate the value of our programming and help us secure much-needed funding. We are so glad to have you as part of the LVA family and really appreciate your feedback!

Contact Name *
Contact Name
Please list the name of the main contact at the collaborating organization.
Age Range
Please let us know the age range of students that participated. Please note, you can select multiple ranges if needed.
This is the most important part of the survey! Please do your best to list EVERY zip code we have served with a comma separating each. (i.e 40212, 40214, 40207…)
Please share any anecdotes that would be helpful for grants— feel free to change names for privacy as needed. Any breakthroughs, behavioral achievements, success stories etc. are most appreciated.
Positive feedback & quotes are AMAZING for grants and donors (so we can continue to provide programming) and negative feedback helps us continue to improve! Please don't be shy!
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