Is this your child's first time at LuWiSoMo?    Yes   No

Child's Age:         Male   Female

Name of camp program:    Date of camp program:

I first heard about LuWiSoMo from    friend    direct mailing    SWD News

television commercial    church bulletin    school assembly    Other:

Please rank each of the following areas based on the experience of you and your child:

Food:

    Poor    O.K.    Good    Excellent    Comments:

Lodging:

    Poor    O.K.    Good    Excellent    Comments:

     Area stayed:

    Log Cabin    Tree House    Krueger Retreat Center    Dormitory    Other:

Other facilities & cleanliness:

    Poor    O.K.    Good    Excellent    Comments:

Staff (counselors, office, etc.):

    Poor    O.K.    Good    Excellent    Comments:

Program & activities:

    Poor    O.K.    Good    Excellent    Comments:

Opportunities for faith to grow (Bible studies, Chapel, etc.):

    Poor    O.K.    Good    Excellent    Comments:

Overall experience:

    Poor    O.K.    Good    Excellent    Comments:

Do you plan to send your child to Camp LuWiSoMo again?    Yes    No

Other Comments:

The following information is optional.  Having this information helps us address specific questions or concerns directly.

Name
Address
Phone
E-mail