Today's Date:

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* 1. Today's Date:

Are you a:

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* 2. Are you a:

Field Trip WNA notification number (leave blank if you don't know the number):

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* 3. Field Trip WNA notification number (leave blank if you don't know the number):

How was the trip reserved?

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* 4. How was the trip reserved?

Date of Field Trip:

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* 5. Date of Field Trip:

This trip was ordered:

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* 6. This trip was ordered:

Pick-up time (indicate time and a.m. or p.m.):

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* 7. Pick-up time (indicate time and a.m. or p.m.):

Drop-off time (indicate time and a.m. or p.m.):

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* 8. Drop-off time (indicate time and a.m. or p.m.):

Tell us about the experience with our service.

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* 10. Tell us about the experience with our service.

  Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisified Very Dissatisfied Not Applicable
Service provided by the Field Trip Coordinator
Service provided by the Bus Operator
The trip was on schedule and driven safely
The condition and cleanliness of the bus
The overall experience of the bus service
The Bus Operator:

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* 11. The Bus Operator:

  Yes No
Obeyed all safety/motor vehicle laws
Provided Bus Emergency Procedures
Arrived on time, within 5-10 minutes
Was knowledgeable of the route needed
Comments

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* 12. Comments

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