We value your feedback at the Greensburg YMCA. Please take a few minutes to complete our survey. Your participation is greatly appreciated! Question Title * 1. Are you a current Greensburg YMCA Member? Yes No Question Title * 2. How did you hear about the Greensburg Y when you initially joined - What brought you to us? Word of mouth Physician referral Friend/Family Website/Internet Newspaper/Clipper TV/Radio Billboard Other (please specify) Question Title * 3. If you are a Greensburg YMCA Member, is your membership paid for through your insurance? Yes No Question Title * 4. How often do you visit the Greensburg Y? Rarely 1 - 2 times per week 3 - 4 times per week 1 - 2 times per month Other (please specify) Question Title * 5. Please rate current Greensburg Y Active Older Adult/Senior programming/classes: Very Satisfied Somewhat Satisfied Neither Satisfied or Dissatisified Somewhat Dissatisfied Very Dissatisfied Silver and Fit Explore (Low Intensity) Silver and Fit Explore (Low Intensity) Very Satisfied Silver and Fit Explore (Low Intensity) Somewhat Satisfied Silver and Fit Explore (Low Intensity) Neither Satisfied or Dissatisified Silver and Fit Explore (Low Intensity) Somewhat Dissatisfied Silver and Fit Explore (Low Intensity) Very Dissatisfied Silver and Fit Experience (Moderate Intensity) Silver and Fit Experience (Moderate Intensity) Very Satisfied Silver and Fit Experience (Moderate Intensity) Somewhat Satisfied Silver and Fit Experience (Moderate Intensity) Neither Satisfied or Dissatisified Silver and Fit Experience (Moderate Intensity) Somewhat Dissatisfied Silver and Fit Experience (Moderate Intensity) Very Dissatisfied Silver and Fit Excel (Active Intensity) Silver and Fit Excel (Active Intensity) Very Satisfied Silver and Fit Excel (Active Intensity) Somewhat Satisfied Silver and Fit Excel (Active Intensity) Neither Satisfied or Dissatisified Silver and Fit Excel (Active Intensity) Somewhat Dissatisfied Silver and Fit Excel (Active Intensity) Very Dissatisfied Silver and Fit Yoga Silver and Fit Yoga Very Satisfied Silver and Fit Yoga Somewhat Satisfied Silver and Fit Yoga Neither Satisfied or Dissatisified Silver and Fit Yoga Somewhat Dissatisfied Silver and Fit Yoga Very Dissatisfied Golden Aqua Aerobics Golden Aqua Aerobics Very Satisfied Golden Aqua Aerobics Somewhat Satisfied Golden Aqua Aerobics Neither Satisfied or Dissatisified Golden Aqua Aerobics Somewhat Dissatisfied Golden Aqua Aerobics Very Dissatisfied Senior Swim Senior Swim Very Satisfied Senior Swim Somewhat Satisfied Senior Swim Neither Satisfied or Dissatisified Senior Swim Somewhat Dissatisfied Senior Swim Very Dissatisfied Happy Hinges Happy Hinges Very Satisfied Happy Hinges Somewhat Satisfied Happy Hinges Neither Satisfied or Dissatisified Happy Hinges Somewhat Dissatisfied Happy Hinges Very Dissatisfied Question Title * 6. Please provide comment/feedback on current Greensburg Y Active Older Adult/Senior programming/classes based upon your response to question #4: Question Title * 7. In order to assist us with future program planning, are there programs, events and/or classes that you would like to see the Greensburg Y conduct for Active Older Adults? Please list below: Question Title * 8. What do you like to do in your free time? Question Title * 9. Would you be interested in participating in a meeting to help guide Active Older Adult/Senior programming, events and/or classes at the Greensburg Y? Yes Not at this time Question Title * 10. If you answered YES to Question #8, please provide your name, phone number and email address below: Done