Boys

Boys & Girls Club of Alachua County Survey
1.

Did you attend the Boys & Girls Club as a child or do your children currently attend?

 
Yes
No
  • Comment:

  • 500 characters left.
2.

We hope that we were an important part of your life and we want to stay in touch with you. Please provide us with your contact information and we will keep you posted on what's going on at the Club. This way you can learn all about exciting events, great program opportunities for your child, or just stay informed.

 

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Country:

3.
How would you rate your overall level of satisfaction with us?
Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
4.

What is your birthday? Example: 3/12/1982

 
 

  • 50 characters left.
5.


What year(s) did you attend the Club? Example 1998-2003

 
 

  • 50 characters left.
6.

What was your favorite activity or sport that you participated in at the Club.

 
Summer Camp
After School
Smart Moves
Education - Project learn
Key Stone
Football
Basketball
Baseball
Wrestling
Cheerleading
Dance
Art
Club tech
Other  
  • Comment:

  • 500 characters left.
7.

How do we rate on the following attributes?

 
 Well Below Average Below Average Average Above Average Well Above Average 
Overall experience
Professionalism
Quality of programs
Understanding of members' needs
  • Comment:

  • 500 characters left.
8.

How do we rate in comparison to other organizations that offer the same services?

 
Much higher
Somewhat higher
Same
Somewhat lower
Much lower
Don't know
9.

What are you doing now? Can you tell us a little about yourself?

 
 

  • 350 characters left.
10.

How did the Boys & Girls Club influence your life? Please tell us about any Club staff member of Club program that had an impact on you.

 
 

  • 1000 characters left.
11.

May we use your name and comments on our Facebook pages , website and other materials?

 
Yes
No
Yes, but please do not include my name.
12.
Have you ever recommended us to others?
No, never recommended
Have recommended once or twice
Have recommended several times
13.
Do you have any suggestions for improvement?
 

  • 350 characters left.
14.

How do you prefer to here from us?

 
Facebook
Facebook Fans
Newsletter
Thanks you newsletter logo
Direct mail
Other  
  • Comment:

  • 500 characters left.
15.
What is your gender?
Male
Female
Prefer not to answer
16.
What is your age?
Younger than 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or older
Prefer not to answer
17.
What best describes your employment status?
Employed full-time
Employed part-time
Self-employed
Unemployed, looking for work
Unemployed, not looking for work
Student
Retired
Homemaker
Military
Prefer not to answer
Other  
18.
Which of the following categories best describes your annual income?
Under $15,000
$15,000 - $29,999
$30,000 - $44,999
$45,000 - $59,999
$60,000 - $74,999
$75,000 - $89,999
$90,000 or more
Prefer not to answer