Section 1: Contact & Booking Details

First Name

Last Name

Organisation Name

Presenter's Name

Date of Final Session

Email Address

Section 2: Presenter & Program Ratings

Please rate each category from 1 (Poor) to 5 (Excellent).

Content of Session

Did the presenter cover everything you wanted included (topics or activities selected on your booking request or requested on the day)?

Presentation of Content

Was the content presented in a fun, educational, engaging, and interesting way?

Presenter Personality

Was the presenter friendly, professional, polite, and actively engaging with participants?

Time Spent on Activities

Was appropriate time allocated to each activity or discussion?

Quality / Condition of Equipment Used

Wheelchairs, basketballs, and other equipment – were they presentable and fit for purpose?

Risk Management

Did the presenter adequately minimise injury risk and provide guidance on safe equipment use?

Please rate each item from 1 (Poor) to 5 (Excellent).
Select N/A if this topic was not requested as part of your booking.

Benefits of Sport

Awareness of Different Sports

Different Wheelchairs for Different Situations

Everyday use, different sports, etc.

Challenges Facing People in Wheelchairs

Accident Prevention

Spinal Injury Statistics

Did you request a specific topic or activity be covered?

Yes, special activity/request was metNo, special activity/request was not met

If yes, how well was this request met?

Additional Comments

What were the positive aspects of the Wheelienet Disability Awareness Program visit?

How could Wheelienet visits be improved by Novita?

Do you believe the presenter is a positive sporting role model for young people?

YesNo

Additional Comments (optional)