Hornell YMCA Survey
- What Is Your Age?
- Under 20
- 21-30
- 31-40
- 41-50
- 51-60
- Over 60
- What Is Your Gender? (circle one)
- Male
- Female
- How many miles do you typically travel to get to the YMCA?
- less than 1
- 6-10 miles
- 1-2 miles
- 11-20 miles
- 3-5 miles
- more than 20
- Are you a member? (circle one)
- Yes
- No
- What may cause you to consider a membership?
- What are your main reasons for attending the YMCA? (circle all that apply)
- Exercise
- Fitness Programs
- Health Related Issues
- Aquatics Programs
- Childcare Programs
- Aerobic Programs
- Social Contact
- Other - Please explain
- What day(s) do you visit the YMCA? (circle all the apply)
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
- Varies from week to week
- Are you familiar with the following fitness programs?
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Familiar |
Currently Use |
Not Familiar |
| Buff brides/Great grooms |
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| Cardiac Rehab |
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| Get Fit, Stay Fit |
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| Kickboxing |
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| Line Dancing |
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| Lunch Crunch |
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| Personal training |
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| Pilates |
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| Rock-N-Roll |
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| Silver Sneakers |
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| Step Aerobics |
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- What other programs/classes would you like to see offered?
- How would you rate the Hornell YMCA on each of the following?
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Excellent |
Good |
Fair |
Poor |
Don't Know |
Not Applicable |
Staff Members |
| Friendliness |
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| Competence/Knowledge |
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| Availability of Staff to help you |
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| Greeting upon entering the YMCA |
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| Program or class registration |
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Facilities |
| Lobby Cleanliness |
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| Locker Room |
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| Security and Safety |
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| Adequate parking |
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| Adequate lockers |
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| Availability of pool |
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Equipment |
| Availability of fitness center and free weight room |
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| Maintenance of this equipment |
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| Availability of the right type of equipment |
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| Enough equipment to service all members |
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General |
| Convenience of facility hours |
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| Value for the money |
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| Quality of land aerobics classes |
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| Quality of aqua aerobics classes |
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| Quality of fitness programs |
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- Please rate your satisfaction with each of the following:
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Very Satisfied |
Satisfied |
Dissatisfied |
Very Dissatisfied |
Not Important |
Don't Know |
YMCA Values |
| You feel welcome at our Y |
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| The Y is children oriented |
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| The Y is helping to build a stronger community |
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| The Y serves people unable to pay full fee |
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| Treated with respect at the Y |
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- What additional comments do you have that would help the YMCA staff make your YMCA experience better?
Thank you for your participation in our survey.
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