Club Survey

In order to ensure quality of weekly programs, NWSRA would appreciate your input. Please take a few minutes to complete this evaluation.

Question Title

* 1. Season

Question Title

* 2. Please enter the following information below:

Participant Name:

Date:

Program Name:

Season/Year:

Parent Name and E-mail:

NWSRA Staff:

Please circle the appropriate ranking for each question, and use space below for additional comments: 3 = Exceeds Expectations; 2 = Meets Expectations; 1 = Not Adequate; NA = Not Applicable

Question Title

* 3. Please rate below:

	Exceeds Expectations	Meets Expectations	Not Adequate	N/A
Satisfaction of all Clubs	Satisfaction of all Clubs Exceeds Expectations	Satisfaction of all Clubs Meets Expectations	Satisfaction of all Clubs Not Adequate	Satisfaction of all Clubs N/A
Was the registration process efficient and customer friendly?	Was the registration process efficient and customer friendly? Exceeds Expectations	Was the registration process efficient and customer friendly? Meets Expectations	Was the registration process efficient and customer friendly? Not Adequate	Was the registration process efficient and customer friendly? N/A
Did the cost of the Program meet the activity needs?	Did the cost of the Program meet the activity needs? Exceeds Expectations	Did the cost of the Program meet the activity needs? Meets Expectations	Did the cost of the Program meet the activity needs? Not Adequate	Did the cost of the Program meet the activity needs? N/A
Benefits received from participation in Clubs	Benefits received from participation in Clubs Exceeds Expectations	Benefits received from participation in Clubs Meets Expectations	Benefits received from participation in Clubs Not Adequate	Benefits received from participation in Clubs N/A

Please list specific benefits:

Question Title

* 4. Please rate the NWSRA Staff:

	Exceeds Expectations	Meets Expectations	Not Adequate	N/A
Prompt/Dependable	Prompt/Dependable Exceeds Expectations	Prompt/Dependable Meets Expectations	Prompt/Dependable Not Adequate	Prompt/Dependable N/A
Communication of Changes	Communication of Changes Exceeds Expectations	Communication of Changes Meets Expectations	Communication of Changes Not Adequate	Communication of Changes N/A
Friendly Attitude	Friendly Attitude Exceeds Expectations	Friendly Attitude Meets Expectations	Friendly Attitude Not Adequate	Friendly Attitude N/A
Assistance	Assistance Exceeds Expectations	Assistance Meets Expectations	Assistance Not Adequate	Assistance N/A
Encouraged Independence	Encouraged Independence Exceeds Expectations	Encouraged Independence Meets Expectations	Encouraged Independence Not Adequate	Encouraged Independence N/A
Overall satisfaction with their performance	Overall satisfaction with their performance Exceeds Expectations	Overall satisfaction with their performance Meets Expectations	Overall satisfaction with their performance Not Adequate	Overall satisfaction with their performance N/A

Additional Comments:

Question Title

* 5. Please rate the Clubs:

	Exceeds Expectations	Meets Expectations	Not Adequate	N/A
Age Appropriate Activity	Age Appropriate Activity Exceeds Expectations	Age Appropriate Activity Meets Expectations	Age Appropriate Activity Not Adequate	Age Appropriate Activity N/A
Met Goals/Expectations	Met Goals/Expectations Exceeds Expectations	Met Goals/Expectations Meets Expectations	Met Goals/Expectations Not Adequate	Met Goals/Expectations N/A
Length of Time of Club	Length of Time of Club Exceeds Expectations	Length of Time of Club Meets Expectations	Length of Time of Club Not Adequate	Length of Time of Club N/A
Location of the Club	Location of the Club Exceeds Expectations	Location of the Club Meets Expectations	Location of the Club Not Adequate	Location of the Club N/A
Length of the Program Season	Length of the Program Season Exceeds Expectations	Length of the Program Season Meets Expectations	Length of the Program Season Not Adequate	Length of the Program Season N/A

Additional Comments:

Question Title

* 6. Please rate Transportation:

	Exceeds Expectations	Meets Expectations	Not Adequate	N/A
Promptness	Promptness Exceeds Expectations	Promptness Meets Expectations	Promptness Not Adequate	Promptness N/A
Location of Pick-up/Drop off, if applicable	Location of Pick-up/Drop off, if applicable Exceeds Expectations	Location of Pick-up/Drop off, if applicable Meets Expectations	Location of Pick-up/Drop off, if applicable Not Adequate	Location of Pick-up/Drop off, if applicable N/A
Door to Door, if applicable	Door to Door, if applicable Exceeds Expectations	Door to Door, if applicable Meets Expectations	Door to Door, if applicable Not Adequate	Door to Door, if applicable N/A

Additional Comments:

Question Title

* 7. Any suggestions to improve this Club?

Question Title

* 8. Any suggestions for new Clubs?

Question Title

* 9. Do you participate in other NWSRA programs?

Yes

Question Title

* 10. If no to above, and you would like to receive information on NWSRA programs, how would you like to receive information?

Mail

E-mail

Please provide contact information:

Question Title

* 1. Season

Question Title

* 2. Please enter the following information below:

Question Title

* 3. Please rate below:

Question Title

* 4. Please rate the NWSRA Staff:

Question Title

* 5. Please rate the Clubs:

Question Title

* 6. Please rate Transportation:

Question Title

* 7. Any suggestions to improve this Club?

Question Title

* 8. Any suggestions for new Clubs?

Question Title

* 9. Do you participate in other NWSRA programs?

Question Title

* 10. If no to above, and you would like to receive information on NWSRA programs, how would you like to receive information?

Question Title

* 11. With 1 being the least likely and 10 being the most likely, how likely are you to recommend NWSRA programs and services to others.