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* 1. Facility or Program Area

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* 2. Activity Name and/or Activity Number

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* 3. Instructor name (if applicable)

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* 4. How did you hear about this activity?

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* 5. How would you rate the following?

  Extremely Dissatisfied Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Very Satisfied Extremely Satisfied Not Applicable 
Registration Process
Activity Organization
Instructor's Knowledge/Expertise
Instructor's Effectiveness as an Instructor
Activity Fee
Customer Service
Facility or Activity Area
Overall Satisfaction

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* 6. Did the activity meet its objectives as stated in the description?

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* 7. Please share any additional comments and/or suggestions

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* 8. Are there any classes or activities you would like to see offered in the future?

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* 9. Knowing who our customers are allows us to better serve you. Please check all that apply. 

How would you describe yourself?

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* 10. If you would like to be contacted about your response, please leave your contact information

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