Accommodation Evaluation Form

Question Title

* 1. Contact and Accommodation Information

Name (optional)

Accommodation Address: *

Accommodation Town/City: *

Email Address:

Question Title

* 2. Satisfaction of Experience
Please rate the following statements by circling/checking the appropriate number of the following scale, where: 1 = Poor, 2 = Fair, 3 = Unsure/OK, 4 = Liked It and 5 = Loved It

	1 - Poor	2 - Fair	3 - Unsure/OK	4 - Liked It	5 - Loved It	N/A
Receiving Accommodation Information	Receiving Accommodation Information 1 - Poor	Receiving Accommodation Information 2 - Fair	Receiving Accommodation Information 3 - Unsure/OK	Receiving Accommodation Information 4 - Liked It	Receiving Accommodation Information 5 - Loved It	Receiving Accommodation Information N/A
Picking up Keys for Accommodation	Picking up Keys for Accommodation 1 - Poor	Picking up Keys for Accommodation 2 - Fair	Picking up Keys for Accommodation 3 - Unsure/OK	Picking up Keys for Accommodation 4 - Liked It	Picking up Keys for Accommodation 5 - Loved It	Picking up Keys for Accommodation N/A
Cleanliness of Accommodation	Cleanliness of Accommodation 1 - Poor	Cleanliness of Accommodation 2 - Fair	Cleanliness of Accommodation 3 - Unsure/OK	Cleanliness of Accommodation 4 - Liked It	Cleanliness of Accommodation 5 - Loved It	Cleanliness of Accommodation N/A
Supplies – household items/appliances	Supplies – household items/appliances 1 - Poor	Supplies – household items/appliances 2 - Fair	Supplies – household items/appliances 3 - Unsure/OK	Supplies – household items/appliances 4 - Liked It	Supplies – household items/appliances 5 - Loved It	Supplies – household items/appliances N/A
Furniture (comfort/condition)	Furniture (comfort/condition) 1 - Poor	Furniture (comfort/condition) 2 - Fair	Furniture (comfort/condition) 3 - Unsure/OK	Furniture (comfort/condition) 4 - Liked It	Furniture (comfort/condition) 5 - Loved It	Furniture (comfort/condition) N/A
Exterior maintenance (snow/lawn)	Exterior maintenance (snow/lawn) 1 - Poor	Exterior maintenance (snow/lawn) 2 - Fair	Exterior maintenance (snow/lawn) 3 - Unsure/OK	Exterior maintenance (snow/lawn) 4 - Liked It	Exterior maintenance (snow/lawn) 5 - Loved It	Exterior maintenance (snow/lawn) N/A
Overall Condition of the Accommodation	Overall Condition of the Accommodation 1 - Poor	Overall Condition of the Accommodation 2 - Fair	Overall Condition of the Accommodation 3 - Unsure/OK	Overall Condition of the Accommodation 4 - Liked It	Overall Condition of the Accommodation 5 - Loved It	Overall Condition of the Accommodation N/A
Checkout/Key Return Process	Checkout/Key Return Process 1 - Poor	Checkout/Key Return Process 2 - Fair	Checkout/Key Return Process 3 - Unsure/OK	Checkout/Key Return Process 4 - Liked It	Checkout/Key Return Process 5 - Loved It	Checkout/Key Return Process N/A
Would you consider a career in this community	Would you consider a career in this community 1 - Poor	Would you consider a career in this community 2 - Fair	Would you consider a career in this community 3 - Unsure/OK	Would you consider a career in this community 4 - Liked It	Would you consider a career in this community 5 - Loved It	Would you consider a career in this community N/A
Would you recommend this community to other learners	Would you recommend this community to other learners 1 - Poor	Would you recommend this community to other learners 2 - Fair	Would you recommend this community to other learners 3 - Unsure/OK	Would you recommend this community to other learners 4 - Liked It	Would you recommend this community to other learners 5 - Loved It	Would you recommend this community to other learners N/A
Rate your learning experience in rural Alberta	Rate your learning experience in rural Alberta 1 - Poor	Rate your learning experience in rural Alberta 2 - Fair	Rate your learning experience in rural Alberta 3 - Unsure/OK	Rate your learning experience in rural Alberta 4 - Liked It	Rate your learning experience in rural Alberta 5 - Loved It	Rate your learning experience in rural Alberta N/A
Rate your overall experience staying in the RhPAP accommodation	Rate your overall experience staying in the RhPAP accommodation 1 - Poor	Rate your overall experience staying in the RhPAP accommodation 2 - Fair	Rate your overall experience staying in the RhPAP accommodation 3 - Unsure/OK	Rate your overall experience staying in the RhPAP accommodation 4 - Liked It	Rate your overall experience staying in the RhPAP accommodation 5 - Loved It	Rate your overall experience staying in the RhPAP accommodation N/A

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* 3. Did the RhPAP Accommodation meet/exceed your expectations?

Met-Yes

Exceed-Yes

No

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* 4. Additional Suggestions or Comments
Do you have any other feedback about your overall rural learning experience?
^{(Please feel free to recommend anything you feel might improve the accommodation)}