Please complete the survey below to help us evaluate our programs. Your feedback, suggestions, and comments help us provide high quality programs for your community.

Family Name:

Class:

Session:

Instructor:

Are you a resident of Elm Grove?*

Yes

No

How did we do? Please select an appropriate rating (3 very good, 2 average, 1 needs improvement).

Instructor's Knowledge*

3 2 1

Instructor's Teaching Ability*

3 2 1

Facilities*

3 2 1

Length of Program-Session*

3 2 1

Length of Program-Minute*

3 2 1

Registration Process*

3 2 1

Course Fee*

3 2 1

How do you prefer to register?*

Mail Fax Walk-in

Online Drop-Box

What did you particularly like/dislike about the program?

Would you recommend the program(s) based on your experience?*

Yes

No

Are there any other programs that you would like to see?

Other Comments?

E-Mail Address:

Day Phone:

Would you like someone to call you regarding your comments?

Yes

No