Programs & Classes Survey

1. Program/Class Name:
2. R.E.A.C.H. Online Activity Number:
3. Program/Class End Date:
4. Instructor Name (if applicable):

5. Are you a returning patron to our program/class?
YesNo

6. Was the cost reasonable?
YesNo

7. Was the staff accessible and helpful?
YesNo

8. Was the facility clean?
YesNo

9. How did you hear about the program/class?
BrochureFlyerCableWebsiteOther

10. How would you rate the registration process?
YesNo

11. Did the program/class meet expectations?
YesNo

12. Was the program/class organized?
YesNo

13. Would you recommend this program/class to someone?
YesNo

14. How would you rate the program/class overall?
ExcellentGoodAverageBelow AveragePoor

15. Did your instructor show a concern for safety?
YesNo

16. Did the instructor treat participant with respect?
YesNo

17. Was the instructor positive and motivating?
YesNo

18. How would you rate the instructor overall?
ExcellentGoodAverageBelow AveragePoor

19. What did you like the most and/or least?

20. What other programs/classes would you like to see in the future?

21. Any additional comments?