Session Feedback

👤 Clients name

📅 Date

⚡ Service

Swimming Fitness Climbing FitFun Splash & Connect

✅ Attendance

Yes No

⭐ Engagement

1 2 3 4 5

🖊️ Observed Engagement Patterns

Shared attention Expressed interest Followed routine Initiated interaction Needed mutual regulation Required full prompting Passive / Avoided

📝 Positive Feedback (optional)

🌈 Client’s Emotions

Withdrawn Happy/Excited Anxious Out of control

⚠️ Exceptional Challenges or Parent Info (optional)

🔴 Did any incidents occur?

Yes – Form completed No

🧑‍💼 Feedback completed by: