JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Litchfield YMCA Future Programming Survey
Litchfield Unlimited in partnership with the YMCA is looking to offer programming for your family. We would greatly appreciate your feedback to help shape the future.
Sign in to Google
to save your progress.
Learn more
How many people in your household are under the age of 18?
Your answer
How many children do you have under the age of 5?
Your answer
I have children in the following grade levels
K-2nd
3rd-5th
6th-8th
9th-12th
My family would be interrested in the following sports programs
Volleyball
Basketball
Soccer
Sports Frenzy sampler
lacrosse
Football
Roller Hockey
Martial arts
My family would be interrested in the following Arts and Humanities Programs
Dance
Art
Music- (voice, guitar)
Theater
Culinary Arts
Foreign Language
Youth in Government
Baby Sitter Certification
Afterschool Tutoring
My family would be interrested in the following other options
Archery
Outdoor camping skills, orienteering, other outdoor recreation options
Tennis
Beginner Tumbling
Adult fitness classes
Family nights
Yoga
Pickleball
How much do you think a 1 hour, 7 week class would cost
$26-$35
$36-$45
$46-$55
$56-$65
$66-$75
$76-$85
$86- $95
Clear selection
Tell us what would influence your decision to sign up for a class
Price
Time of Class
Child's interest in program offering
Transportation
Location
Other:
With the current pandemic are you hesitant about in person programming at this time
Yes
No
Unsure
Would attend outdoor only
Clear selection
Are there needs in the community that you feel are not being met? Please explain
Your answer
Other comments
Your answer
Interested in receiving information about future Litchfield YMCA programs? Provide your name and email here.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Edwardsville YMCA.
Report Abuse
Forms
