Martial Arts Evaluation Survey

Question Title

* 1. What is the name of the martial arts program you would like to evaluate?

Class Name

Instructor's Name

Question Title

* 2. How did you register for this program?

Online

Phone

In person at the recreation center

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* 3. Rate your level of satisfaction in the following areas:

	Excellent	Good	Fair	Poor	N/A
Registration process	Registration process Excellent	Registration process Good	Registration process Fair	Registration process Poor	Registration process N/A
Registration staff	Registration staff Excellent	Registration staff Good	Registration staff Fair	Registration staff Poor	Registration staff N/A
Quality of program	Quality of program Excellent	Quality of program Good	Quality of program Fair	Quality of program Poor	Quality of program N/A
Length of program	Length of program Excellent	Length of program Good	Length of program Fair	Length of program Poor	Length of program N/A
Time of program	Time of program Excellent	Time of program Good	Time of program Fair	Time of program Poor	Time of program N/A
Cost of program	Cost of program Excellent	Cost of program Good	Cost of program Fair	Cost of program Poor	Cost of program N/A
Quality of facility	Quality of facility Excellent	Quality of facility Good	Quality of facility Fair	Quality of facility Poor	Quality of facility N/A
Overall satisfaction with program	Overall satisfaction with program Excellent	Overall satisfaction with program Good	Overall satisfaction with program Fair	Overall satisfaction with program Poor	Overall satisfaction with program N/A

Is there anything you would like to add?

Question Title

* 4. How would you rate the instructor?

	Excellent	Good	Fair	Poor	N/A
Instructor knowledge	Instructor knowledge Excellent	Instructor knowledge Good	Instructor knowledge Fair	Instructor knowledge Poor	Instructor knowledge N/A
Instructor professionalism	Instructor professionalism Excellent	Instructor professionalism Good	Instructor professionalism Fair	Instructor professionalism Poor	Instructor professionalism N/A
Instructor friendliness	Instructor friendliness Excellent	Instructor friendliness Good	Instructor friendliness Fair	Instructor friendliness Poor	Instructor friendliness N/A

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* 5. Would you register again for this program?

Yes

If you would NOT register for this class again, please tell us why.

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* 6. Would you recommend this program your friends and family?

Yes

If you would NOT recommend this program/class, please tell us why.

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* 7. Are there any additional martial arts programs you would like to see?

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* 8. Is there anything else you'd like the recreation staff to know?

Question Title

* 9. Thank you for completing the survey. If you would like a recreation staff member to follow-up with you, please provide us with your contact information.

Name

Email Address

Phone Number

SAMPLE INTRO: In order to improve the quality of programs for our patrons, we need your input. Please take a moment to tell us about your experience in this program. Thank you for your participation.