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<p align="center"><b><i>Parents Questionnaire&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; B&quot;H</i></b></p>
<p align="center"><b><i>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</i></b></p>
<p>Camp Gan Israel Warwick.</p>
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<p>Campers Name&nbsp;<input tabindex="1" maxlength="50" size="36" required="false" style="width: 268px; height: 18px" name="Campers Name" type="text" /></p>
<p>&nbsp;</p>
<p><b>1.</b> Please give ratings to the following using this rating scale:</p>
<p>&nbsp;</p>
<p><b>EXCELLENT=1, VERY GOOD=2, GOOD=3, AVERAGE=4, POOR=5.</b></p>
<p>&nbsp;</p>
<p>Overall Camp Rating&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="5" size="6" required="false" style="width: 46px; height: 17px" name="Overall Camp Rating" type="text" />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Learning&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="5" size="6" required="false" name="Learning" type="text" />&nbsp;&nbsp;&nbsp;&nbsp;</p>
<p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
<p>Staff.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="5" size="4" required="false" style="width: 46px; height: 17px" name="Staff" type="text" />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Singing&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="5" size="6" required="false" name="Singing" type="text" /></p>
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<p>Program&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="5" size="4" required="false" style="width: 48px; height: 18px" name="Program" type="text" />&nbsp;&nbsp;&nbsp;&nbsp;Office/Parent relationship&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="5" size="6" required="false" name="office parent relationship" type="text" />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
<p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
<p>Trips.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="5" size="6" required="false" name="Trips" type="text" />&nbsp;&nbsp;Sensitivity to campers needs.&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="5" size="6" required="false" name="sensitivity to campers needs" type="text" />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;Communication&nbsp;&nbsp;Bet Parents and Staff&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="5" size="6" required="false" name="Parents staff communication" type="text" />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
<p>Lunches&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="5" size="6" required="false" name="Lunches" type="text" />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Newsletter&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="5" size="6" required="false" name="Newsletter" type="text" /></p>
<p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>
<p><b>2.</b> In your opinion what are the 3 strongest points of Camp? Why?</p>
<p><b>a.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="200" size="64" required="false" style="width: 474px; height: 19px" name="In your opinion what are the 3 strongest points of Camp? Why? a" type="text" /></b></p>
<p><b>b.</b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="200" size="64" required="false" style="width: 472px; height: 19px" name="In your opinion what are the 3 strongest points of Camp? Why? b" type="text" /></p>
<p><b>c.</b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input tabindex="1" maxlength="200" size="64" required="false" style="width: 468px; height: 19px" name="In your opinion what are the 3 strongest points of Camp? Why? c" type="text" /></p>
<p><b>3.</b> What are the weakest points of camp?, If you were the director, how would you improve the weak point?.</p>
<p><b>a.</b>         <input tabindex="1" maxlength="200" size="68" required="false" style="width: 518px; height: 15px" name="What are the weakest points of camp?, If you were the director, how would you improve the weak point?. a" type="text" /></p>
<p><b>b.</b>         <input tabindex="1" maxlength="200" size="70" required="false" style="width: 512px; height: 19px" name="What are the weakest points of camp?, If you were the director, how would you improve the weak point?. b" type="text" /></p>
<p><b>c.</b>         <input tabindex="1" maxlength="200" size="70" required="false" style="width: 516px; height: 19px" name="What are the weakest points of camp?, If you were the director, how would you improve the weak point?. c" type="text" /></p>
<p><b>This portion of the questionnaire <i><u>will be kept strictly confidential</u></i></b></p>
<p><b><i>&nbsp;</i></b></p>
<p>Please write one sentence about:</p>
<p><b>1.</b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Your child's counselor.</p>
<p><input tabindex="1" maxlength="200" size="64" required="false" style="width: 473px; height: 19px" name="Your child's counselor." type="text" /></p>
<p><b>2.</b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Camp Newspaper.</p>
<p>&nbsp;</p>
<p><input tabindex="1" maxlength="200" size="64" required="false" style="width: 473px; height: 18px" name="Camp Newspaper." type="text" /></p>
<p><b>3.</b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Director's (Rabbi Laufer or Shoshana Laufer) response to your needs.&nbsp;&nbsp;&nbsp;</p>
<p><input tabindex="1" maxlength="200" size="65" required="false" style="width: 475px; height: 18px" name="Director's (Rabbi Laufer or Shoshana Laufer) response to your needs." type="text" /></p>
<p>____________________________________________________________________</p>
<p>Thank you for your cooperation,</p>
<p>Shoshana Laufer</p>
<p>&nbsp;</p>