Exit this survey 

201007 Lively Places

 

1. Name:

Name:

2. Age:

Age:   under 20 20-29 30-39 40-49 50-59 60+

3. Which activity did you participate in?

Which activity did you participate in?   Yoga (Silverstream) Yoga (Cossie Club) Pilates (Silverstream) Pilates (Totara Park) Self Defence Zumba Zumba Gold Jazz & Ballet Sit Dancing Qi Gong Tai Chi PlayGym

4. How did you find out about Lively Places 2010?

How did you find out about Lively Places 2010?   Upper Hutt Leader Activation website Upper Hutt City Council website Other website (please specify below) Brochure Poster Signboard Email Newsletter (please specify below) Word of mouth Other (please specify below)

Other (please specify)

5. Did you enjoy this activity?

Did you enjoy this activity?   Yes No

6. What could have been improved on?

What could have been improved on?

7. Are you going to continue doing this activity after the Lively Places programme has ended?

Are you going to continue doing this activity after the Lively Places programme has ended?   Yes No

If no, please state reason

8. What do you think of the Lively Places programme generally?

What do you think of the Lively Places programme generally?

9. Do you have any suggestions that could improve the programme?

Do you have any suggestions that could improve the programme?

10. What did you think of the venue the activity was held in?

What did you think of the venue the activity was held in?

11. Would you like Activation to contact you with information on future events and programmes?

Would you like Activation to contact you with information on future events and programmes?   Yes No

If yes, please enter your email address and/or mobile number

12. Do you have any further comments?

Do you have any further comments?