STEM Ambassador Feedback Form (Non-School activity)

In order to ensure the continued improvement of the STEM Ambassadors programme, and for us to understand our support to groups and organisations outside of the school environment, STEM Learning would appreciate your valuable feedback on the recent STEM Ambassador activity that you were involved in.

The survey will take between 5 and 10 minutes to complete.

Thank you.

1. Please give us your full name

2. Please tell us the name of your group or organisation
(For example: "1st Alexandra Park Brownies & Guides", "Code Club at Angmering Community Centre", "Sea Cadets - Clacton Unit")

3. Please select the region of the UK where the activity took place *This question is required.

Please select the area of the East Midlands where the activity took place *This question is required.

Please select the area of the East of England where the activity took place *This question is required.

Please select the area of London where the activity took place *This question is required.

Please select the area of the North West and North East where the activity took place *This question is required.

Please select the region of Scotland where the activity took place *This question is required.

Please select the area of the South East where the activity took place *This question is required.

Please select the area of the South West where the activity took place *This question is required.

Please select the area of the West Midlands where the activity took place *This question is required.

Please select the area of Yorkshire and the Humber where the activity took place *This question is required.

4. What was the date of the STEM Ambassador activity?
(Please click on the calendar icon to select a date) This question requires a valid date format of DD/MM/YYYY.

calendar

5. Please tell us whereabouts the activity took place
(Please state whether it took place indoors or outdoors and give the name of the activity centre if applicable)