Satisfaction Survey Please enable JavaScript in your browser to complete this form.What is your age? *59 years old or younger60 - 69 years old70 - 79 years old80 - 89 years old90 - 99 years old100 years old or olderWhich of the following services and programs have you participated in? Please check ALL that apply. *Transportation: to/from the CenterTransportation: to/from Medical AppointmentsTransportation: to/from Community in GeneralMeals on WheelsCongregate MealsSHIBA (Senior Health Insurance Benefits Assistance)Blood Pressure MachineAssistive Equipment Loan ClosetHealth Promotion: WorkshopsHealth Promotion: Exercise ClassesActivities: Creative Writing, Watercolor, Art WorkshopsActivities: Computer Use, Game Room, Craft Connection CornerGift ShopSenior Dance Group / Line DancingGolden Age Bingo & Cards ClubVolunteering at the CenterCommunity Events: Support GroupsCommunity Events: Muffin MondaysCommunity Events: Library BranchOther not listed aboveIf you chose "Other not listed above" in prior question, please describe.How would you rate the services and/or programs that you have received or participated in? Selected Value: 0 Ratings are 0 meaning "Very dissatisfied" to 5 meaning "Very satisfied"What made you rate the services and/or programs as you did? *How would you rate the personnel that you have come in contact with? Selected Value: 0 Ratings are 0 meaning "Very poor" to 5 meaning "Excellent"What made you rate the personnel as you did? *What would you change about the Center and our services/programs, if you could? *What do you like best about the Center? *Any additional comments?If you would like to be contacted about your feedback, please provide your name, phone number, and an email address. We will contact you as soon as we are able.Submit
