WILD at The Preserve

Post Assessment

Outdoor Education

WILD Curriculum

A post-assessment for the WILD at The Preserve program

Your Name*
First Last
Your Email Address*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Child's Name*
First Nickname (Optional) Last
Sibling Name(s)
Child's Date of Birth*
Date Format: MM slash DD slash YYYY
Please list any allergies or medical conditions for either guardian or child*
Emergency Contact*
Name Phone Relationship
How many hours do you spend outside with your child per week?*
How many years have you visited the Preserve?*
How many years have you participated in our education program?*
On the sliders below, mark the level of agreement you have with the following statements
0 being no agreement and 10 being complete agreement
My child recognizes their first name in print.
My child can represent stories or ideas through written word or drawings.
My child has control over body, balance and can sit still.
My child enjoys outdoor play.
My child interacts appropriately with adults, classmates, and wildlife.
My child uses a wide variety of words.
My child makes observations and compares natural objects.
My child understands numbers up to five.
My child is intrigued by their local environment.
Why do you want to be in the WILD @ The Preserve program and what are the goals you hope to achieve through participation?*

On the sliders below, mark the level of agreement you have with the following statements