Ralph J. Stolle Countryside YMCA

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Home > Membership Information > How Did We Do Today?

How Did We Do Today?

We want to know what you think! Please take a moment to fill out this electronic survey, it is important to us at the Countryside YMCA that we continue to upgrade our facilities and programs as we strive to receive the highest marks possible from you, our members.

Click SUBMIT after completing each area. Thanks!

Date of Visit
Time of Visit
Please indicate satisfaction level by the following numeric values: 1=Excellent, 2=Good, 3=Fair/Needs Improvement, 4=Poor/Needs Immediate Attention
Staff Courtesy		1 2 3 4
Staff Responsiveness		1 2 3 4
Cleanliness of Facility		1 2 3 4
Quality of Programs		1 2 3 4
Met Your Expectations		1 2 3 4
Did any YMCA staff member call you by name?		Yes No
Did any YMCA staff member ask about your progress?		Yes No
If you were the CEO, what would you improve?
I would like someone to contact me?		Yes No
Your Name (optional)

To put Christian principles into practice through programs
that build healthy spirit, mind, and body for all.