YMCA OF NEWARK AND VICINITY

YMCA Member Survey

By taking a few minutes to complete this brief survey. You are helping us achieve our goal to create a great experience for you and your family at our YMCA. Any information you provide will be kept strictly confidential, and we truly appreciate your feedback. 

Your Name
Your Email
Date
Branch
How likely is it that you would recommend us to a friend or family member?
(10 most likely, 1 least likely)
 10  9  8  7  6  5  4  3  2  1
 
 Signature of Parent or Guardian if under 18
What are the primary reasons for the score you gave us?
What is the most important improvement we can make for you to rank us closer to a 10?

Before submitting this form, please click on the link below to move the contents of box "A" into box "B" leaving the first box empty.

A: B: Click to Move


 

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