Montgomery Parks wants to know...HOW ARE WE DOING? Survey

Montgomery Parks wants to know...
HOW ARE WE DOING?

1. Park Facility Name

Park Facility Name

2. Date of visit

	MM		DD		YYYY		HH		MM	AM/PM
	Date of visit Month	/	Day	/	Year		Hour	:	Minute	AM or PM

3. How did you hear about us?

How did you hear about us? Internet search

Recreation & Parks Guide

Newspaper/magazine

TV/radio

Friend/referral

Other

4. How often do you visit this facility?

How often do you visit this facility? First Visit

Daily

Weekly

Monthly

Several times a year

5. How would you rate our services?

	Excellent	Good	Fair	Poor	No opinion/N.A.
Courtesy of staff	*How would you rate our services? Courtesy of staff Excellent	Courtesy of staff Good	Courtesy of staff Fair	Courtesy of staff Poor	Courtesy of staff No opinion/N.A.
Helpfulness of staff	Helpfulness of staff Excellent	Helpfulness of staff Good	Helpfulness of staff Fair	Helpfulness of staff Poor	Helpfulness of staff No opinion/N.A.
Quality of service or program	Quality of service or program Excellent	Quality of service or program Good	Quality of service or program Fair	Quality of service or program Poor	Quality of service or program No opinion/N.A.
Meeting your activity needs	Meeting your activity needs Excellent	Meeting your activity needs Good	Meeting your activity needs Fair	Meeting your activity needs Poor	Meeting your activity needs No opinion/N.A.
Cleanliness of facility	Cleanliness of facility Excellent	Cleanliness of facility Good	Cleanliness of facility Fair	Cleanliness of facility Poor	Cleanliness of facility No opinion/N.A.
Safety of facility	Safety of facility Excellent	Safety of facility Good	Safety of facility Fair	Safety of facility Poor	Safety of facility No opinion/N.A.

6. Select ONLY the 3 service factors most important to you and rank them in order of importance (1-3).


Courtesy of staff	Select ONLY* the 3 service factors most important to you and rank them in order of importance (1-3). Courtesy of staff	Courtesy of staff	Courtesy of staff
Helpfulness of staff	Helpfulness of staff	Helpfulness of staff	Helpfulness of staff
Quality of service or program	Quality of service or program	Quality of service or program	Quality of service or program
Meeting your activity needs	Meeting your activity needs	Meeting your activity needs	Meeting your activity needs
Cleanliness of facility	Cleanliness of facility	Cleanliness of facility	Cleanliness of facility
Safety of facility	Safety of facility	Safety of facility	Safety of facility

7. Would you recommend this facility to family or a friend?

Would you recommend this facility to family or a friend? Yes

8. If you live in Montgomery County please, let us know your zip code by choosing one of the options below. If you do not live in Montgomery County skip to the following question.

If you live in Montgomery County please, let us know your zip code by choosing one of the options below. If you do not live in Montgomery County skip to the following question.

9. If you don't live in Montgomery County, please specify your zip code.

If you don't live in Montgomery County, please specify your zip code.

10. Your comments or suggestions are important to us:

Your comments or suggestions are important to us:

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