Carrollton Senior Center Satisfaction Survey
Name (optional)
First Name
Last Name
How often do you visit the Carrollton Senior Center?
Please Select
Frequently (3 or more times a WEEK)
Occasionally (5 to 9 times a month)
Rare (10 or less times a year)
Never
What is your age?
50-59
60-69
70-79
80+
Decline to answer
What is your gender?
Male
Female
Decline to answer
How long have you been a member at the Carrollton Senior Center?
Less Than 1 Year
1-3 Years
3-5 Years
5-10 Years
10+ Years
Please rate your overall satisfaction with the Carrollton Senior Center.
Not Satisfied
1
2
3
Very Satisfied
4
1 is Not Satisfied , 4 is Very Satisfied
What are your primary reasons for visiting the Carrollton Senior Center? (Select All that Apply)
Special Interest Activity (ex: Knit and Crochet, Chair Volleyball, Ping Pong, Bingo, etc. )
Workout Class (ex: Stretch, Yoga, Aerobics etc.)
Card/Table games (ex: Mexican Train, Bridge, Mahjong, etc.)
Club Meeting (ex: Red Hats, Book Club, Reunion Hispana, etc.)
Free Service (ex: Notary, Health Screening)
Monthly Luncheon
Thursday Night Dance
Billiards/Pool Free Play
Lunch and Learn Series
Use physical fitness equipment
Use computer in the lobby
Other
Please indicate your level of satisfaction concerning the Carrollton Senior Center by rating the following statements:
Strongly Disagree
Disagree
Agree
Strongly Agree
The
Carrollton Senior Center is inviting and welcoming
.
Exercise equipment is satisfactory.
Operational hours are adequate.
Carrollton Senior Center
staff are friendly
The Carrollton Senior Center is clean and well-maintained.
The price of a membership is appropriate and affordable.
Registration for programs and events at the Carrollton Senior Center is easy.
I find that there are adequate programs and events to meet my needs.
Additional Notes/Suggestions:
Submit
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