Social Enjoyment Survey for Madison Dining Sites 2024 (English)
Please take a moment to complete this survey. We'd love to hear your thoughts!
Basic Demographics
Gender, Age, Ethnicity
Gender:
Please write your gender or "prefer not to say"
Age:
Please write your age or "prefer not to say"
Which ethnicity/race to you self-identify as? (Choose one or more by pressing command or control and selecting all that apply)
A. Caucasian
B. African-American
C. Latino or Hispanic (See below)
D. Asian
E. Native American
F. Native Hawaiian or Pacific Islander
G. Two or More
H. Other/Unknown
I. Prefer not to say
Are you Hispanic/Latino
Yes
No
I don't know
Prefer not to say
Dining Site Questions
Have you attended a meal at any of our dining sites before?
Yes
No
If you answered "No," please tell us why you haven't attended yet?
Don't be shy!
Which dining sites do you attend? (Choose one or more)
West Madison (Beth Israel Center)
West Madison (Meadow Ridge Commons)
West Madison (Good Shepard Church)
South Madison (Romnes Apartments)
South Madison (Madison Senior Center)
North Madison (Warner Park Community & Rec Center)
North Madison (Kavanaugh's Restaurant)
East Madison (Goodman Community Center)
East Madison (Messiah Lutheran Church)
East Madison (Monona Senior Center)
Rate your overall satisfaction with your social experience at the dining sites
Always
Sometimes
Never
Not Sure
1. I feel like I get along with everyone at the dining sites.
2. I have friends that I look forward to seeing at the dining sites.
3. I enjoy my conversations with others at the dining sites.
4. I have felt uncomfortable or unwelcome at the dining sites.
5. I enjoy participating in activities at the dining sites.
6. I enjoy meeting new people and getting to know them at the dining sites.
7. I look forward to welcoming older adults from different backgrounds than my own to our dining sites.
8. I feel good about recommending the dining sites to my friends.
Is there anything more that you'd like to share about your responses above?
Your experiences matter to us! :-)
How can we improve your social experience at our dining sites? (Please refer to your specific dining site location, if applicable.)
What ideas do you have? Please do share.
Would you like to receive a phone call from a staff member to discuss your experiences further?
Yes
No
If yes, please include your name and contact information below.
Optional
Thank you so much for sharing your thoughts with us. :-)
We look forward to dining with you! Sincerely, Team NewBridge
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