2017 Fall Program Evaluation Survey

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* 1. Please let us know which program you or your family member attended.

Class Name:

Instructor:

Location:

Class Day(s):

Class Time:

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* 2. Please answer the following questions about the facility.

	Yes	No
Was the facility appropriate for the program?	Was the facility appropriate for the program? Yes	Was the facility appropriate for the program? No
Was the facility clean and neat?	Was the facility clean and neat? Yes	Was the facility clean and neat? No
Was the equipment appropriate and available for class?	Was the equipment appropriate and available for class? Yes	Was the equipment appropriate and available for class? No
Was the environment safe?	Was the environment safe? Yes	Was the environment safe? No

Comments:

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* 3. Please answer the following questions about the instructor(s):

	Yes	No
Did you find the instructor qualified to teach the class?	Did you find the instructor qualified to teach the class? Yes	Did you find the instructor qualified to teach the class? No
Did the class start and end on time?	Did the class start and end on time? Yes	Did the class start and end on time? No
Did the instructor teach in a safe manner?	Did the instructor teach in a safe manner? Yes	Did the instructor teach in a safe manner? No
Did the instructor keep the class moving?	Did the instructor keep the class moving? Yes	Did the instructor keep the class moving? No
Did the instructor give positive feedback?	Did the instructor give positive feedback? Yes	Did the instructor give positive feedback? No
Did the class meet your expectations?	Did the class meet your expectations? Yes	Did the class meet your expectations? No

Comments:

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* 4. Please answer the following questions about the class.

	Yes	No
Would you recommend this class to others?	Would you recommend this class to others? Yes	Would you recommend this class to others? No
Would you register for this class again?	Would you register for this class again? Yes	Would you register for this class again? No
Was the cost of the class a value for the money?	Was the cost of the class a value for the money? Yes	Was the cost of the class a value for the money? No
Was the class size appropriate?	Was the class size appropriate? Yes	Was the class size appropriate? No

Comments:

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* 5. On a scale of 1 to 10, please rate the following items.
(1 is the lowest rating, 10 is the highest rating.)

Do you feel you received:

	1 low	2	3	4	5	6	7	8	9	10 high
Proper instruction	Proper instruction 1 low	Proper instruction 2	Proper instruction 3	Proper instruction 4	Proper instruction 5	Proper instruction 6	Proper instruction 7	Proper instruction 8	Proper instruction 9	Proper instruction 10 high
Clarification when needed	Clarification when needed 1 low	Clarification when needed 2	Clarification when needed 3	Clarification when needed 4	Clarification when needed 5	Clarification when needed 6	Clarification when needed 7	Clarification when needed 8	Clarification when needed 9	Clarification when needed 10 high
Individual attention	Individual attention 1 low	Individual attention 2	Individual attention 3	Individual attention 4	Individual attention 5	Individual attention 6	Individual attention 7	Individual attention 8	Individual attention 9	Individual attention 10 high
Adequate class information	Adequate class information 1 low	Adequate class information 2	Adequate class information 3	Adequate class information 4	Adequate class information 5	Adequate class information 6	Adequate class information 7	Adequate class information 8	Adequate class information 9	Adequate class information 10 high
Friendly and open attitude	Friendly and open attitude 1 low	Friendly and open attitude 2	Friendly and open attitude 3	Friendly and open attitude 4	Friendly and open attitude 5	Friendly and open attitude 6	Friendly and open attitude 7	Friendly and open attitude 8	Friendly and open attitude 9	Friendly and open attitude 10 high
An organized class	An organized class 1 low	An organized class 2	An organized class 3	An organized class 4	An organized class 5	An organized class 6	An organized class 7	An organized class 8	An organized class 9	An organized class 10 high

Comments:

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* 6. How did you find out about this program? Please check all that apply.

Flyers and Posters

Newspaper

Park District Catalog

Social Media

Website

Word of Mouth

Other

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* 7. Which registration method did you use?

Online

In person at a recreation center

Fax

Mail in

Drop box

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* 8. If you registered in person, please answer the following questions.

Which facility did you visit to complete your in-person registration?

Birchwood Recreation Center

Community Center

Falcon Park Recreation Center

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* 9. Please answer the following questions about your in-person registration.

	Yes	No
Were the staff members knowledgeable about your program?	Were the staff members knowledgeable about your program? Yes	Were the staff members knowledgeable about your program? No
Were the staff members knowledgeable about the registration process?	Were the staff members knowledgeable about the registration process? Yes	Were the staff members knowledgeable about the registration process? No
Were the staff members courteous and polite?	Were the staff members courteous and polite? Yes	Were the staff members courteous and polite? No

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* 10. Are there any additional programs you would like to see offered by Palatine Park District?

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* 11. Please provide any additional comments here.

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* 12. Would you be willing to have your comments shared in Palatine Park District promotional materials?

No, thank you

Yes, anonymously

Yes, please use the name below

Please use this name when sharing my comment (for example Mary S., Mary Smith, The Smith Family).

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* 13. Optional: Each season, one name will be randomly selected from all survey responses to win a $25 program voucher. In order to qualify for the drawing, please provide your contact information below. (By providing your email address, you are agreeing to receive emails from Palatine Park District approximately twice a month.)

Name:

Phone number:

Email:

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* 1. Please let us know which program you or your family member attended.

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* 2. Please answer the following questions about the facility.

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* 3. Please answer the following questions about the instructor(s):

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* 4. Please answer the following questions about the class.

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* 5. On a scale of 1 to 10, please rate the following items.(1 is the lowest rating, 10 is the highest rating.)Do you feel you received:

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* 6. How did you find out about this program? Please check all that apply.

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* 7. Which registration method did you use?

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* 8. If you registered in person, please answer the following questions.Which facility did you visit to complete your in-person registration?

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* 9. Please answer the following questions about your in-person registration.

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* 10. Are there any additional programs you would like to see offered by Palatine Park District?

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* 11. Please provide any additional comments here.

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* 12. Would you be willing to have your comments shared in Palatine Park District promotional materials?

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* 14. Please let us know if you have any questions, or would like the program coordinator to contact you.

* 5. On a scale of 1 to 10, please rate the following items.
(1 is the lowest rating, 10 is the highest rating.)

Do you feel you received:

* 8. If you registered in person, please answer the following questions.

Which facility did you visit to complete your in-person registration?