Have you ever received respite before your child participated in TRIP

Yes                   No

If yes, where did your child participate

Please rate your satisfaction with the TRIP program

Not Satisfied

Somewhat Satisfied

Satisfied

Very Satisfied

Did your child talk about their weekend TRIP after they returned home?

Yes              No

If yes, what did they say?

Would you allow your child to attend another TRIP weekend

Yes       No

If no, please explain

Were you satisfied with the professionalism of the TRIP staff

Yes         No

If no, please explain

Would you recommend TRIP to another parent?

Yes             No

Can you give our program a testimonial.  This may be used in future TRIP publications.