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Hampshire Regional YMCA

Thank you so much for taking the time to fill out this form. Please be sure to include your email address so that we can let you know if you’ve won the raffle!

    Do you reside in Western Massachusetts permanently? (required)

    Approximately how many times did you visit the HRYMCA during your trial? (required)

    What programs and facilities did you make use of during your trial? Please check all that apply:

    What was your impression of these programs and facilities? (Rate 1-5)
    > Accessible 12345
    > Clean 12345
    > Enjoyable 12345
    > Comments

    What was your experience of HRYMCA staff during your trial? (Rate 1-5)
    > Friendly 12345
    > Helpful 12345
    > Well-Informed 12345

    What is your main reason for not joining the Y at the end of your trial?

    What, if any, challenges did you face in using the facility? 

    Any other comments, questions, or concerns?