City of Ashland Intranet>Ashland Parks & Recreation - Ashland Senior Center Survey Form

	Ashland Senior Program Survey
In our dedication to serve the needs of Ashland's older residents, we would greatly appreciate it if you could please take a few moments to provide feedback about our programs and offerings.

How familiar are you with the Ashland Senior Center and its programs?

1 Not well at all

3 Not too well

5 Pretty well

7 Very well

How often do you visit the Ashland Senior Center?

1 Never

3 Monthly

5 Weekly

7 Daily

How would you rate the programs offered for recreational value?

1 Low

3 Medium

4 Medium

7 High

Would you be opposed to paying a small fee for more services and classes offered?

1 Oppose fees

3 Can't afford fees

5 Limited fees

7 Would pay a fee

Are there any issues that prevent you from taking advantage of the Ashland Senior Center and its programs?

Yes

If yes, please Explain:

What additional services or special events would you like to see offered at the Ashland Senior Center?

Ashland Senior Program Survey