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* 1. My Age Is:

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* 2. 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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* 3. Do you feel that you are getting good value for your membership?

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* 4. What would get you or your family more engaged at our Y?

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* 5. Other Comments

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