Thank you for participating in the Cultural Arts program at the Arlington Heights Park District. We are seeking feedback from participants/parents of participants to keep the program moving forward in a positive direction.

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* 1. What is the program participants age?

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* 2. Where is the class held?

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* 3. What is your instructor's name?

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* 4. How did you learn about the program?

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* 5. Below is a list of reasons you/your child might have for participating in this program. Please tell us how important these reasons are to you:

  Very Important 2 3 4 Not Important
To be physically active
To learn a new activity
To improve skills in an activity he/she already does
To socialize with others of the same age
To have fun
Good location for us
The fee was right
Class time fit our schedule

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* 6. Please tell us how much you/your child:

  A Lot A Little Some Not at all
Increased dance/art skills
Improved social skills
Completed activities that were challenging

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* 7. Please rate the program instructor on the following qualities:

  Excellent Above Average Average Below Average Poor
Knowledgeable
Enthusiasm/Made Things Fun
Activity & Instruction Skills
Care & Interest
Class Control

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* 8. Please rate the following areas of program structure:

  Excellent Above Average Average Below Average Poor Not Applicable
Communication Regarding Class Changes
Program Guide Content/Layout
Website Information

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* 9. How did you register for the program:

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* 10. How would you rate your registration experience:

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* 11. Rate our Facility:

  Excellent Above Average Average Below Average Poor
General Condition
Cleanliness/Safety
Program Room Amenities
General Facility Amenities

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* 12. Overall, rate the value of this program to you and your family:

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* 13. Please tell us how we can improve you/your childs experience (and/or other programs that you would like to see):

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* 14. In comparison to other agencies in our community that provide programs for your family, the Arlington Heights Park District is:

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* 15. Would you like to be contacted about the information you provided in this survey? If so, please provide your name and preferred contact information (e-mail address or phone number).

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