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Feedback on Programs

Thank you for participating in the City of Dayton's Recreation & Youth Services Programs! It is our goal to provide the best recreation, arts and cultural services to adults, children, teens, and families in the City of Dayton. Please help us to do so by telling us what you think.

Session:	Winter Spring Summer Fall Community
Program / Event Title:
Program / Event Date:
Program / Event Time:

Please Check One
I was a participant in this event / program My child was a participant in this event / program My family participated in this event / program

Program
How would you rate:	5 = Excellent - 1 = Unsatisfactory
	5	4	3	2	1	N/A
Fun and Enjoyment
Skill Development
Cost of Program
Location
Program Staff
Promptness
Knowledge of Subject
Friendliness and Courtesy
Facility or Park
Appropriateness
Cleanliness
Maintenance
Safety
Overall Rating
General Comments:

May we contact you to inform you of upcoming events?	Yes No
Would you consider volunteering for this program?	Yes No

If so, will you please provide us with your contact information?
Name:
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Phone: