YM of Cortland County
1
. Please indicate the current type of membership you have.
Adult
Family
Single Parent
Couples
Junior
College
Please indicate the current type of membership you have.
2
. What brings you to the Y (check all that apply)
What brings you to the Y (check all that apply)
Youth programs
Adult programs
Swimming
Fitness area
Special events (eg family fun night)
3
. Please indicate the media you use to get information about local community news and events. (check all that apply)
Please indicate the media you use to get information about local community news and events. (check all that apply)
Cortland Standard Newspaper
Cortland Democrat Newspaper
Freeville Shopper
Pennysaver
Radio: WHXC
Radio: i100
Radio: Z93FM
Radio: Q Country
Radio: Y94FM
Radio: 93Q
Radio: other (specify below)
Television: Syracuse Affiliate Stations
Television: Channel 3
Television: Channel 9
Television: Channel 5
Television: Other (specify below)
Facebook
Twitter
Other (please specify)
4
. Using the same media formats, please place the number 1,2 or 3 in your first, second, and third choices. (check only 3 choices)
Using the same media formats, please place the number 1,2 or 3 in your first, second, and third choices. (check only 3 choices)
Cortland Standard Newspaper
Cortland Democrat Newspaper
Freeville Shopper
Pennysaver
Radio:: WHXC
Radio: i100
Radio: Z93FM
Radio: Q Country
Radio: Y94FM
Radio: 93Q
Radio: Other (Specify below)
Television: Syracuse Affiliate Stations
Television: Channel 3
Television: Channel 5
Television: Channel 9
Television: Other (specify below)
Facebook
Twitter
Other (please specify)
5
. How would you prefer to receive information about Y events or programs? Please indicate your top 3 choices by placing the number 1,2, 3 in boxes
How would you prefer to receive information about Y events or programs? Please indicate your top 3 choices by placing the number 1,2, 3 in boxes
E-Newsletter
Blog
YM Website
Printed monthly Newsletter mailed to my address
Events and Program sheet available at the front desk
Facebook
Twitter
SMS Text Message to my cell phone
6
. How often do you use the Y facilities & programs per season?
How often do you use the Y facilities & programs per season?
Spring, March 1 – May 31 Per week use: () 1x () 2x () 3x () More than 3x
Summer, June 1 – Aug 31 Per week use: () 1x () 2x () 3x () More than 3x
Fall, October 1 – Nov 30 Per week use: () 1x () 2x () 3x () More than 3x
Winter, Dec 1 – Feb 30 Per week use: () 1x () 2x () 3x () More than 3x
7
. Please indicate your age group
20 & below
21-30
31-40
41-50
51-60
61-70
Over 70
Please indicate your age group
*
8
. To help us understand the communities we serve, please provide your residence zip code
To help us understand the communities we serve, please provide your residence zip code
9
. (Optional) At what email address would you like to receive Y info?
(Optional) At what email address would you like to receive Y info?
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