City of El Paso Senior Center Customer Survey

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* 1. Which facility are you rating?

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* 2. Rate the quality of the following:

	Poor	Fair	Good	Excellent	N/A
Variety of programs	Variety of programs Poor	Variety of programs Fair	Variety of programs Good	Variety of programs Excellent	Variety of programs N/A
Availability of programs	Availability of programs Poor	Availability of programs Fair	Availability of programs Good	Availability of programs Excellent	Availability of programs N/A
Cost of programs	Cost of programs Poor	Cost of programs Fair	Cost of programs Good	Cost of programs Excellent	Cost of programs N/A
Class instruction	Class instruction Poor	Class instruction Fair	Class instruction Good	Class instruction Excellent	Class instruction N/A
Cleanliness of facility	Cleanliness of facility Poor	Cleanliness of facility Fair	Cleanliness of facility Good	Cleanliness of facility Excellent	Cleanliness of facility N/A
Operating hours	Operating hours Poor	Operating hours Fair	Operating hours Good	Operating hours Excellent	Operating hours N/A
Overall service/programs	Overall service/programs Poor	Overall service/programs Fair	Overall service/programs Good	Overall service/programs Excellent	Overall service/programs N/A

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* 3. How often do you visit the Senior Center you are rating?

Daily

2-3 times per week

Weekly

2-3 times per month

Monthly

Quarterly

Annually

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* 4. Rate the service you received from staff:

	Poor	Fair	Good	Excellent	N/A
Knowledgeable	Knowledgeable Poor	Knowledgeable Fair	Knowledgeable Good	Knowledgeable Excellent	Knowledgeable N/A
Professionalism	Professionalism Poor	Professionalism Fair	Professionalism Good	Professionalism Excellent	Professionalism N/A
Promptness	Promptness Poor	Promptness Fair	Promptness Good	Promptness Excellent	Promptness N/A
Willingness to help	Willingness to help Poor	Willingness to help Fair	Willingness to help Good	Willingness to help Excellent	Willingness to help N/A
Overall impression	Overall impression Poor	Overall impression Fair	Overall impression Good	Overall impression Excellent	Overall impression N/A

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* 5. Would you recommend this facility to a family member or friend?

Yes

No

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* 6. Additional Comments

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* 7. Please enter your zip code.