| 1. |
Are you currently a member at the Springfield YMCA? |
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Yes
No |
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| 2. |
If Yes, what type of membership do you have? |
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Adult Individual
Family
Senior
Senior Family
Teen
Youth
Not Applicable
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| 3. |
Check off the ages of children in your family, if applicable: |
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Birth – 2 years
3 – 5 years
6 – 8 years
9 – 11 years
12 – 14 years
15 – 17 years
Not Applicable
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| 4. |
I/We got involved with the YMCA for (please check all that apply): |
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Fitness
Family Programming
Childcare/Camp
Youth programs
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| 5. |
I/We enjoy the following activities (please check all that apply): |
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Lectures
Family events
Cardio
Strive
Cybex
Fitness Classes
Childcare/Camp
Youth programs
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| 6. |
We wish the Springfield YMCA would offer the following (please check all that apply): |
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More family events
Lecture series
More youth programs
Pilates
Community events
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| 7. |
What I/We enjoy most about the YMCA |
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YMCA family program
YMCA Fitness Classes/workout
YMCA youth programs
YMCA lecture
YMCA senior activities
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| 8. |
The best time for us to enjoy programs/classes or events at the YMCA is: |
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Weekdays
Monday
Tuesday
Wednesday
Thursday
Friday
Time of Day, Weekdays
6am – 8am
8am – 10am
10am – noon
Noon – 3pm
3pm – 6pm
6pm – 8pm
8pm – 9:30pm
Weekends
Saturday
Sunday
Time of Day, Weekends
7:30am – 9:30am
9:30am – noon
noon – 3pm
3pm – 5pm
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| 9. |
The Springfield YMCA is considering offering the following programs. Please check the programs that your family might participate in, if they are available at the YMCA.
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Trips (sporting events, theater, recreational activities, etc.)
Retreats (Frost Valley YMCA, Fairview Lake YMCA…etc.)
Family Fitness Classes
Volunteer Activities (Tutoring, visiting shut-ins, yard work, collecting food and supplies for hungry, needy or homeless people, etc.)
Support and Resource Programs (parenting classes, family counseling, etc.)
Intergenerational Activities
Picnics
ESL
Other (please list):
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| 10. |
Would you be willing to pay a fee to participate in the programs you checked above? |
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Yes
No
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| 11. |
Would you or a member of your family be willing to volunteer to serve in a Springfield YMCA focus group to explore program options in the YMCA? |
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Yes
No
If yes, please provide the following information:
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