H.O.O.P. Foundation Exit Form
Last, Name
First , Name
Gender
Please Select
Male
Female
N/A
Age
Address
How Long Have you been with HOOP
Please Select
1-3 Months
4-6 Months
6 Months - 1 year
Over 1 Year
What goal (s) were accomplished from participating in the program?
Please Select
Increased GPA
Build up Self Esteem
Healthier Eating
Lost Weight
Completed Grade Level
Other
Who made the most impact on you?
Please Select
Tutors
Life Coach
Basketball Coach
Other Participants
What did you like best about the program?
Please Select
Events
Participants
Team Sports
Group Sessions
Summer Camp
What would you add or change about the program?
Submit
Should be Empty: