Feedback Form

The Hillcrest YMCA and SELREC want to hear from you. Please take a few minutes to answer the questions below. We appreciate your feedback. Each comment will help us to provide wanted programming for the South Euclid, Lyndhurst and surrounding areas.

First Name (optional)

Last Name (optional)

Email address (optional)

Phone (optional)

Overall, how would you rate the SELREC/YMCA program offerings?

Excellent Good Fair Poor

What type of programming are you looking for?

Adult Enrichment

Childcare

Youth Programming

Youth Sports

Adult Sports

Would you like to try a fun-filled acting class? Yes No

Would you like to perform in a community play or musical? Yes No

Check which of the following you might be interested in:

Improvisation

Scene Work

Monologues

Do you like to sing? Yes No

Which of the following interest you?

Community Choir

Voice Lessons

Sr. Citizens Choir

East Side Kids Choir

Youth Choir,9-12 gade

Young Professionals Choir

Classical Choir

Gospel Choir

Show Choir

All choirs

Would you like to take lessons on a musical instrument? Yes No

Which Musical Instrument

Which of the following interest you?

Individual Lessons

Group Lessons

Community Band

Sr. Citizens Band

East Side Kids Band

Youth Band, 9-12 grade

Which types of dance lessons would you like to take or already take though the YMCA/SELREC?

Swing

Scottish Country

Monday Night Salsa

Party/ Wedding

Mamo/ Salsalito

Hula Dancing

Chicago Steppin

Belly Dance

Argentine Tango

Upbeat Ballet

Classical Ballet

Modern Dance

Tap/ Jazz

Clogging

Square Dancing

General Ballroom

Other dance?

Number of Adults in Household

Ages of children in houshold:

Ages 0-3

Ages 3-6

Ages 7-11

Ages 12-18

What types of programming would you like to see for Adults?

What type of programming would you be interested in for your child(ren)?