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Program Evaluation
1. Default Section
1
. What program did you attend?
What program did you attend?
*
2
. How did you register for this program?
How did you register for this program?
In person at City Hall
In person at Senior Center
Online (at home or work)
Online (at facility using self serve kiosk)
Mail in
3
. Did you have any problems in registering for this program? (if so, please explain)
Did you have any problems in registering for this program? (if so, please explain)
4
. How did you hear about this program?
How did you hear about this program?
Activities Guide (Brochure/Catalog)
Newspaper
Flyer
Email
Friend
Website
Other
5
. Was the scheduled time for the program convenient?
Was the scheduled time for the program convenient?
No
Yes
Other
6
. Did you feel the Instructor / Tour Host was knowledgeable?
Did you feel the Instructor / Tour Host was knowledgeable?
Yes
No
Other
7
. Did the Instructor / Tour Host meet the program objective?
Did the Instructor / Tour Host meet the program objective?
No
Yes
Other
8
. Would you take this program or a similar program again?
Would you take this program or a similar program again?
Yes
No
Other
9
. Is there anything else we should know about the program?
Is there anything else we should know about the program?
10
. Please rate the facility.
Agree
Neutral
Disagree
The parking lot was visibly clean
*
Please rate the facility. The parking lot was visibly clean Agree
The parking lot was visibly clean Neutral
The parking lot was visibly clean Disagree
The outside of the facility was visibly clean
The outside of the facility was visibly clean Agree
The outside of the facility was visibly clean Neutral
The outside of the facility was visibly clean Disagree
The inside of the facility was visibly clean
The inside of the facility was visibly clean Agree
The inside of the facility was visibly clean Neutral
The inside of the facility was visibly clean Disagree
The facility location was easily accessible
The facility location was easily accessible Agree
The facility location was easily accessible Neutral
The facility location was easily accessible Disagree
The entrances was clearly defined
The entrances was clearly defined Agree
The entrances was clearly defined Neutral
The entrances was clearly defined Disagree
The restrooms were properly maintained and stocked
The restrooms were properly maintained and stocked Agree
The restrooms were properly maintained and stocked Neutral
The restrooms were properly maintained and stocked Disagree
11
. Please rate our customer service.
Agree
Neutral
Disagree
The staff person was appropriately attired
*
Please rate our customer service. The staff person was appropriately attired Agree
The staff person was appropriately attired Neutral
The staff person was appropriately attired Disagree
The staff person was able to answer your questions
The staff person was able to answer your questions Agree
The staff person was able to answer your questions Neutral
The staff person was able to answer your questions Disagree
The staff person was friendly and helpful
The staff person was friendly and helpful Agree
The staff person was friendly and helpful Neutral
The staff person was friendly and helpful Disagree
12
. Do you have any other suggestions for new programs you would like to see the Community Services offer?
Do you have any other suggestions for new programs you would like to see the Community Services offer?
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