Form Center

2. This survey will enable the Rockville Swim and Fitness Center staff to continue to provide you with the highest quality classes. Please take a few minutes of your time to complete it. If you would like a follow up phone call, please fill out your name and phone number.
   
   Thank you for your time!
4. Class Name*
5. Instructor's Name*
7. Location*
9. Your Name
10. Your Phone Number
12. On a scale of 1 through 5, one being the lowest and five being the highest, please rate the following:
14. Instructor interacted effectively with participants.

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
15. Classes started and ended on time.

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
17. The instructor was well prepared for class.

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
18. The facility was clean.

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
20. The instructor was dependable and started and ended on time.

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
21. I enjoyed the class.

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
23. The class met my expectations

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
24. Did you/your child learn a new skill or improve existing skills during the course?

    1. Yes
    2. No
26. How did you find out about this class?

    1. Website
    2. Printed Brochure
    3. Flier

    1. Friend
    2. Other
28. Additional Comments and/or Recommendations for a New Class or Instructor:
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field