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* 1. Please indicate your gender:

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* 2. Please choose the age range that best fits you:

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* 3. What time(s) are you most likely to use the facility? Please check all that apply.

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* 4. What day(s) are you most likely to use the facility? Please check all that apply.

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* 5. How did you learn about the Madison Area YMCA

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* 6. Tell us about your experience with our staff

  Poor Fair Good Excellent
The Welcome Center
The Fitness Center
Group Ex Staff
Aquatics Staff
Kids Central Staff
Program Staff

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* 7. Did you know that the Madison Area YMCA is a charitable, non-profit organization that has community outreach programs and provides financial assistance so that all persons in the community have an opportunity to belong or participate?

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* 8. Why did you choose the Madison Area YMCA? Please check all that apply.

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* 9. Did you join during a promotion?

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* 10. If you answered Yes to question 9. Which promotional item(s) were most influential in your choice to join? Please check all that apply.

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* 11. As a new member of the Madison Area YMCA what 3 suggestions would you make to improve your overall experience?

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