1.  Are you a member of the Lima YMCA?

2.  Have you been a member in the past?

3.  Have you visited the Lima YMCA in the last 90 days?

     a.  Was it clean?

     b.  Was it easy to get into?

     c.  Was the staff friendly and helpful?

     d.  Did you enjoy your visit?

Yes No

Yes No

Yes No

Yes No

4.  If you have visited the Lima YMCA, do you have any suggestions for areas of improvement?

5.  What do you think the Lima YMCA is?

     A youth club           A daycare center               A sports facility     

     A health club           All of these and more 

6.  What is your perception of the Lima YMCA? (Check all that apply)

It is directed toward underprivileged youth

It is directed toward senior citizens  

It is directed toward physical fitness 

It is directed at youth and adult sports 

It is focused on improving the physical and mental health of the Lima community

 Other: 

7.  Is the Lima YMCA a good value for the fees?

8.  What will it take for you to join the Lima YMCA?

9.  Do you know that the Lima YMCA offers classes in:

     a.  Life Saving

     b.  CPR

     c.  First Aid

Yes No

Yes No

Yes No

10.Do you know that the Lima YMCA hosts the following functions? And which would you be   

      interested in participating or volunteering in?                          

                                                                                                               Participating     Volunteering

     a.  Triathlon                                                         Yes No

     b.  5K River Run                                                 Yes No

     c.  Power Lift Championship                                Yes No

     d.  High School Sectional Swim Championships    Yes No

     e.  AAU Basketball (co-host)                               Yes No

     f.  Battle of the Businesses                                    Yes No

     g.  Northwest Ohio YMCA Swim Championships Yes No

     h.  Lima Area Swim Coaches Invitational              Yes No

     i.  New Year's Eve Family Fun Night                    Yes No

11.Do you know that the YMCA has meeting and party facilities

      for rent?

12. What age group do you fall into?

     6-15 years old        16-24 years old               25-40 years old     

     41-55 years old      56-64 years old               65+ years old

Optional: 

Email:    

Name:    Phone:

Address: 

City: State:    Zip:

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