Auburn - Lewiston YMCA Exit Survey

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* 1. First Name

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* 2. Last Name

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* 3. Home Phone

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* 4. Email Address

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* 5. Address

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* 6. If you would like someone to contact you regarding your YMCA experience, please tell us your preferred method of communication (phone/email) and the best time to reach you below. 

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* 7. How often did you use our YMCA facilities?

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* 8. What is your reason for termination of your membership? (check all that apply)

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* 9. Did the staff know your name?

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* 10. Did the staff ask about your progress?

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* 11. Would you recommend the YMCA to a friend, co-worker or relative?

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* 12. How would you rate the friendliness of staff members?

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* 13. How would you rate the competence of our staff members?

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* 14. How would you rate the overall cleanliness of the facilities?

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* 15. How would you rate the security & safety of facilities?

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* 16. How would you rate the maintenance of equipment?

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* 17. How would you rate the convenience of scheduling?

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* 18. How would you rate the value for the money?

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* 19. Do you have any suggestions on how we can improve the YMCA?

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* 20. Thank you for taking time to complete our survey. We value your feedback.

Please note by clicking continue below you agree to the following:

* I understand that my account will draft one last time.

* A 30-day written notice must be given to stop ALL bank draft procedures. This completed survey serves as your written notice.

* Locker contents will be removed by the termination date. 

* All outstanding balances will be paid in full before membership is terminated.

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