SEND US YOUR FEEDBACK AND TRY TO WIN A SURPRISE

So cool that you scanned the QR code next to one of our many interactive 3D murals in a children's hospital! We welcome you to the Beyond the Moon website, a non-profit organisation founded in 2005 to offer a carefree family vacation to families with a sick child through our main project 'Offer a Vacation'

Our secondary project 'Paint a Smile' was only created in 2021, partly due to Covid-19 and the temporary interruption of family vacations. Because even during crisis periods, we want to hearten sick children. 

  

The form below can only be filled in by parents whose child is/has been hospitalised and/or has recently been at the hospital for a consultation. In your quality of healthcare staff in a hospital, would you also like to react to our interactive 3D murals? It's possible. We look forward to receiving your opinion and feedback via email and you can also add a (group) photo with colleagues next to our mural. Be creative in your interaction. 

  

Your feedback is very valuable to us: 

Via the form below, we would like to know what our Paint a Smile project has brought to your child during the hospitalisation or consultation. How did he / she react to it? 

 

Upload one (or more) cool and funny photo(s) of your child interacting with the 3D mural (see some examples). Via the buttons below (choose a file), you can easily upload the photos from a smartphone or computer.

 

Is Beyond the Moon allowed to use your comments for its references page? (no mention of last name, only first name and age)  *

 

Choose a surprise for your son or daughter: 

Choose the surprise that we can send to your child in exchange for your comments and cooperation, if he/she is a winner. Depending on the feedback entries, we will draw up to three names of children at the end of each month who, as winners, will receive the surprise of their choice delivered at home. The more feedback we receive, the more winners. The name(s) will not be made public. The winner(s) will be personally notified during the first week of the following month. Personal data will not be used for other purposes.




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PaS dierentuin