Wellness Survey

Questions marked with an asterisk (*) are mandatory.

YMCA

Wellness Survey

Facility

1

* At which YMCA facility do you participate in Wellness services? Please check all that apply.

A.C.  Lewis YMCA
Baranco-Clark YMCA
C.B.  Pennington Jr. YMCA
Charles W. Lamar Jr. YMCA
Dow Westside YMCA
Paula G. Manship YMCA
ExxonMobil YMCA
Southside YMCA

Enrollment and Participation

2

* Where did you hear about becoming a member of the YMCA? Please check all that apply.

Billboards
Facebook
Parents Magazine
Westside Journal
YMCA E-Mail
YMCA Flyer
Other, please specify
3

* Of the following, please rank your satisfaction.  3 being most satisfied and 1 being least satisfied.

123
Cleanliness of Equipment
Environment of Facility
Group Exercise Classes
4

* Which activities are you interested in? Please check all that apply.

Weight Loss
Personal Training
Toning
Healthy Living
Family Activities
Water Exercise
Childrens Activities
Community Service
Volunteerism
Sports
Group Exercise Classes
Senior Activities
Social Activities

Convenience & Facility

5

* How would you rate your overall Membership at the Y?

PoorFairGoodExcellent
1
2
3
4
6

* What is an improvement you would make to the YMCA?

Membership Fee

7

* Do you feel the Membership fee is fair?

Customer Service and Program Quality- How would you rate the following?

8
YMCA staff was visible, reliable and approachable?
PoorFairGoodExcellent
1
2
3
4
9

* Did our Group X classes meet your needs?

PoorFairGoodExcellent
1
2
3
4
10

* Employees and trainers were caring and attentive in your presence? 

PoorFairGoodExcellent
1
2
3
4

Additional Comments

11

What is one thing that can be improved to make the overall experience more enjoyable and valuable for you or your family?