1. Template

Your honest thoughts and suggestions will help us provide you with the ultimate experience. Thank you!

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* 1. Program participant's name:

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* 2. E-mail address:

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* 3. Please inform us of any changes to your household account:

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* 4. Please indicate which level you participated in.

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* 5. Program Details

  Very Satisfied Satisfied Dissatisfied
Was the day convenient?
Was the time convenient?
Did the program match the published description?
Was the registration process convenient?

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* 6. Condition of Facility

  Very Satisfied Satisfied Dissatisfied
Was the room clean?
Was the facility easy to access?
Was the space appropriate for the activity?

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* 7. Program Instructor/Staff or Teacher

  Very Satisfied Satisfied Dissatisfied
Was the staff responsive to your needs?
Was the staff courteous and pleasant?
Was the staff in uniform/dressed appropriately for the activity?
Rate the quality of instruction?

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* 8. Rate the Overall Quality of the Program

  Excellent Good Poor
Quality of Program
Value Received

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* 9. How did you hear about this program?

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* 10. Would you recommend this program to others?

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