Fall 2019 Youth Program Survey
RequiredRequired Question(s)
Required 1.

Please select your membership category: 

Program
Youth
Teen
Family
Required 2.

 

Name of Fall Session Program (please include date and time). Note: If you participate in more than 1 program there will be a link at the end to complete another survey.  


 

50 characters left.
Required 3.
Overall, how would you rate the program? 
Excellent Very Good Good Fair Poor       
      
  • Comment:

  • 500 characters left.
Required 4.
How would you rate the instructor? 
Excellent Very Good Good Fair Poor       
      
  • Comment:

  • 500 characters left.
5.

What is your favorite aspect of the program?  

 

350 characters left.
6.
What are your suggestions to improve the program? 
 

350 characters left.
Required 7.
Will you continue to participate in youth programs at the Y? If you answer, "No or Not Sure" please explain below. 


Yes
No
Not Sure
  • Comment:

  • 500 characters left.
8.
 Are there any other programs you are interested in at the Y?
 

350 characters left.
9.
If you would you like a Y staff member to contact you regarding your feedback, please provide your name and email address below:  

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:
Email Address:
emailaddress@xyz.com