Please take a few moments to complete our online survey. Your input will assist us in our efforts to provide you with the best member programs and services.

ONLINE MEMBER SURVEY
1. Select a YMCA Location
	YMCA Location	-- Select One -- Coffman YMCA Downtown YMCA Huber Heights YMCA Kleptz YMCA Preble County YMCA South YMCA West Carrollton YMCA YMCA Camp Kern YMCA NDC Trotwood
N/A = Not Applicable (ex. You did not participate in a particular program)

2. Rate our Member Services Staff		N/A	Poor	Fair	Good	Excellent
	Membership Staff's Knowledge
	Membership Staff's Helpfulness
	Membership Staff's Friendliness

3. Rate Our YMCA Programs		N/A	Poor	Fair	Good	Excellent
	Programs Meet My Needs

4. Rate Our Program Staff		N/A	Poor	Fair	Good	Excellent
	Program Staff's Knowledge
	Program Staff's Helpfulness
	Program Staff's Friendliness

5. Rate Our Website		N/A	Poor	Fair	Good	Excellent
	Online Registration Process

6. Rate Other Misc. Items		N/A	Poor	Fair	Good	Excellent
	Overall Facility Cleanliness
	Value For Your Money

7. Your Information
	Your Membership Type	-- Select One -- Youth / Teen Adult Family
	Your Name
	Your Home Phone (optional)
	Your E-mail Address

8. Follow-up Request
	Would you like a follow-up response to your survey?	-- Select One -- Yes No

9. Additional Comments (optional)

Please take a moment to review your survey answers before clicking the submit button.