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Therapeutic Riding Participant Evaluation
Name
First
Last
Date
MM slash DD slash YYYY
Date of Birth
MM slash DD slash YYYY
Thank you for being part of the Quantum Leap Farm family. We would appreciate it if you would take a few minutes to tell us about your experience at the Farm so far. Please circle the response that best describes your feelings. Thank you for your feedback & help!
1) Riding at Quantum Leap Farm has helped me improve my physical well-being.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
2) Riding at Quantum Leap Farm has helped me improve my self-confidence.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
3) Riding at Quantum Leap Farm has helped me improve my postural control.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
4) Riding at Quantum Leap Farm has helped me improve my balance.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
5) Riding at Quantum Leap Farm has helped me improve my flexibility.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
6) I believe that riding or participating in services at Quantum Leap Farm has improved my quality of life.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
7) I believe that when I rider or participate in services at Quantum Leap Farm I am safe.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
8) I am very satisfied by the services I receive at Quantum Leap Farm.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
9) Please tell us about your experience at Quantum Leap Farm:
10) How can we improve our services to you:
Close Menu
Support
Donate Today
Ways to Give
Volunteer
Partners
Donate a Horse
Donate Crypto Currency through BitPay
About
Mission
Staff
Horses & Farm Residents
Board of Directors
Financials
Services
Benefits of Participation
Therapeutic Riding
Hippotherapy
Warrior Mission: At Ease Military Retreats
EASE (EAGALA EAP/EAL)
Corporate Workshops
Military Programs
Visits, Tours & Other Programs
Stories
News Media
Testimonials
Events
Colors of Courage | Sep 14, 2023
Family Fun Days 2023
2023 Stirrup Hope – Post Event
Contact