Recreational Programming Please take a few minutes to provide us with your feedback. Thank you! Question Title * 1. What Program are you evaluating? Question Title * 2. What was the Program dates & times (if you have)? Question Title * 3. Is this the first time you participated in our programs? Yes No Question Title * 4. What is your age? 20 & under 21 to 40 41 to 60 61 & over Question Title * 5. What is your gender? Male Female Question Title * 6. Are you a City of Appleton resident? Yes No Question Title * 7. How far do you travel to get to the Program? 0 to 5 blocks 6 to 10 blocks 11-20 blocks Over 20 blocks Question Title * 8. If any, what are the ages of the children in your household? (Check all that apply) 0-5 years 6-10 years 11-15 years 16-18 years N/A Question Title * 9. Please rank the following program attributes: Excellent Very Good Average Poor Registration Process Registration Process Excellent Registration Process Very Good Registration Process Average Registration Process Poor Registration Staff Registration Staff Excellent Registration Staff Very Good Registration Staff Average Registration Staff Poor Program Quality Program Quality Excellent Program Quality Very Good Program Quality Average Program Quality Poor Instructor's Knowledge Instructor's Knowledge Excellent Instructor's Knowledge Very Good Instructor's Knowledge Average Instructor's Knowledge Poor Instructor's Personality/Helpfulness Instructor's Personality/Helpfulness Excellent Instructor's Personality/Helpfulness Very Good Instructor's Personality/Helpfulness Average Instructor's Personality/Helpfulness Poor Program Location Program Location Excellent Program Location Very Good Program Location Average Program Location Poor Length of Program Length of Program Excellent Length of Program Very Good Length of Program Average Length of Program Poor Cost of Program Cost of Program Excellent Cost of Program Very Good Cost of Program Average Cost of Program Poor Quality of Facilities Quality of Facilities Excellent Quality of Facilities Very Good Quality of Facilities Average Quality of Facilities Poor Overall Program Quality Overall Program Quality Excellent Overall Program Quality Very Good Overall Program Quality Average Overall Program Quality Poor Question Title * 10. Additional comments relating to above ratings. Question Title * 11. What is the ideal time for you or your children to participate in classes? Question Title * 12. What are some of the ways we could improve the program? Question Title * 13. What other types of programs would you like to see provided in the future? Question Title * 14. Please share your email address if you choose. Done
