Kips Bay Boys & Girls Club Alumni Survey Question Title * 1. When were you a member of Kips Bay Boys & Girls Club? First Year Final Year Please enter dates 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Please enter dates First Year menu 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Please enter dates Final Year menu Question Title * 2. What club were you a member at? Lucile Palmaro Clubhouse 52nd Street Camp Sebago Community School 102 Public School 67 Public School 140 I.S. 152 Castle Hill Senior Center Public School 304 & M.S. 101 Frederic R. & Margaret Coudert Throggs Neck Center Partnerships for Youth H.E.L.P Sites Question Title * 3. What high school did you graduate from? Question Title * 4. What college did you graduate from? Question Title * 5. Do you have children who have been club members? Yes No Question Title * 6. What programs did you participate in? Education and Career Development Performing Arts Health and Life Skills Sports / Fitness and Recreation Leadership Development Summer Camp Question Title * 7. Did you receive a Kips Bay Boys & Girls Club scholarship? Yes No Question Title * 8. If you received a Kips Bay Boys & Girls Club scholarship, to what school? Question Title * 9. What is your overall perception of Kips Bay Boys & Girls Club? Very Positive Positive Mixed Negative Unsure Question Title * 10. What do you view as the greatest advantages of Kips Bay Boys & Girls Club? Question Title * 11. What suggestions would you make to improve Kips Bay Boys & Girls Club today? Question Title * 12. How would you evaluate the following aspects of Kips Bay Boys & Girls Club? Excellent Very Good Good Average Poor Unsure Education and Career Development Education and Career Development Excellent Education and Career Development Very Good Education and Career Development Good Education and Career Development Average Poor Education and Career Development Unsure Health and Life Skills Health and Life Skills Excellent Health and Life Skills Very Good Health and Life Skills Good Health and Life Skills Average Poor Health and Life Skills Unsure Sports/Fitness and Recreation Sports/Fitness and Recreation Excellent Sports/Fitness and Recreation Very Good Sports/Fitness and Recreation Good Sports/Fitness and Recreation Average Poor Sports/Fitness and Recreation Unsure Leadership Development Leadership Development Excellent Leadership Development Very Good Leadership Development Good Leadership Development Average Poor Leadership Development Unsure Performing Arts Performing Arts Excellent Performing Arts Very Good Performing Arts Good Performing Arts Average Poor Performing Arts Unsure Facilities (ie: Clubhouse) Facilities (ie: Clubhouse) Excellent Facilities (ie: Clubhouse) Very Good Facilities (ie: Clubhouse) Good Facilities (ie: Clubhouse) Average Poor Facilities (ie: Clubhouse) Unsure Membership Relations Membership Relations Excellent Membership Relations Very Good Membership Relations Good Membership Relations Average Poor Membership Relations Unsure Question Title * 13. Please rate your own interest in the following priorities at Kips Bay Boys Girls Club 1 - Least Important 2 3 4 5 - Most Important Education Programs Education Programs 1 - Least Important Education Programs 2 Education Programs 3 Education Programs 4 Education Programs 5 - Most Important Career Development Career Development 1 - Least Important Career Development 2 Career Development 3 Career Development 4 Career Development 5 - Most Important Health & Life Skills Health & Life Skills 1 - Least Important Health & Life Skills 2 Health & Life Skills 3 Health & Life Skills 4 Health & Life Skills 5 - Most Important Sports & Recreation Sports & Recreation 1 - Least Important Sports & Recreation 2 Sports & Recreation 3 Sports & Recreation 4 Sports & Recreation 5 - Most Important Performing Arts Performing Arts 1 - Least Important Performing Arts 2 Performing Arts 3 Performing Arts 4 Performing Arts 5 - Most Important Enhance Facilities Enhance Facilities 1 - Least Important Enhance Facilities 2 Enhance Facilities 3 Enhance Facilities 4 Enhance Facilities 5 - Most Important Member Relations Member Relations 1 - Least Important Member Relations 2 Member Relations 3 Member Relations 4 Member Relations 5 - Most Important Staff Development Staff Development 1 - Least Important Staff Development 2 Staff Development 3 Staff Development 4 Staff Development 5 - Most Important Endowment Endowment 1 - Least Important Endowment 2 Endowment 3 Endowment 4 Endowment 5 - Most Important Question Title * 14. What impact, both immediate and long lasting did the Club have on you? It saved my life I became more committed to my education I achieved a higher level of education than I thought possible Other (please specify) Other (please specify) Question Title * 15. What forms of social media would you most likely use to find updates and news on clubhouse events and programs? Facebook Twitter Mobile device alerts Question Title * 16. As a former member of the club, would you be interested in any of the following alumni opportunities? Joining an Alumni Association Serving on an Alumni Association Board Serving on an Alumni Association Committee (event planning, marketing committee, etc.) Attending Social Events Participating in Alumni Sports (golf tournaments, basketball games, etc.) Question Title * 17. Overall, do you think an Alumni program is a good idea for Kips Bay Boys & Girls Club? Yes No Maybe Unsure Question Title * 18. Are you a current donor to Kips Bay Boys & Girls Club? Yes No Question Title * 19. Would you consider making a donation to Kips Bay Boys & Girls Club? Yes, I would consider making a one-time gift to the club Yes, I would consider making an annual gift to the club No, not at this time Question Title * 20. Do you have any other suggestions for the club? Question Title * 21. To help us better serve you, please tell us a little more about yourself Name: * Company: Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: * Phone Number: Question Title * 22. What year were you born? Question Title * 23. What is your gender? Female Male Question Title * 24. What is the highest level of education you have completed? Graduated from high school 1 year of college 2 years of college 3 years of college Graduated from college Graduate school Completed graduate school Question Title * 25. Would you like to receive a copy of our Annual Report or other mailings? Yes No Question Title Thank you for taking the Kips Bay Boys & Girls Club Alumni Survey Next
