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* 1. My Age Is:

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* 2. Are you currently a YMCA Member?

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* 3. Are you currently facing any barriers or limitations that prohibit you from using the Y at all or not as much as you would like?

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* 4. How did you hear about us?  What's the best way to get the word out about what we have going on at the Y?

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* 5. What programs/services do you use the most at the YMCA?

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* 6. For each item below, please click what best fits your judgement

  Excellent Very Good Good Fair Poor
Building Cleanliness
Staff Friendliness
Staff Knowledge
Hours and Space Availability
Are Your Program Needs Being Met?

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* 7. Do you feel that you are getting good value for your membership?  If no, what could we do to improve?

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* 8. What is the biggest improvement we can make at our facility and what would get you or your family more engaged at our Y?

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* 9. Are there any programs, classes or pieces of equipment you would like to see at the YMCA that we currently do not have?

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* 10. Other Comments

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