* 1. What is your gender?

* 2. What is your age?

* 3. Is/are your kid(s) members of the Club currently?

* 4. How long have you been a part of the Lide White Memorial Boys & Girl Club?

* 5. What Club programs matter most to you? Select all that apply and/or add your own in the "Other" box.

* 6. How likely is it that you would recommend Lide White Boys & Girl Club Memorial to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

* 7. Please provide as much contact info as you feel comfortable with (this will be used only for occasional contact and our private use):

* 8. Do you have any other comments, questions, or concerns?

T