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Akron Area YMCA Story Share
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Preferred method of contact
*
Email
Phone
How long have you been a member of the Y?
*
Please select the choice that most closely describes your time as a Y member
Less than 1 month
1 month - 6 months
6 months - 1 year
1 - 2 years
2 - 5 years
Other:
What type of Y membership do you have?
Adult
Family
Older Adult
Older Adult Couple
Program Only
Youth
Young Adult
Clear selection
Which Y programs do you participate in?
LOSE4U
SilverSneakersĀ®
Youth Sports
Child Care
Yoga/Pilates
Swimming/Swim Teams
Marathon Training
Diabetes Prevention
Overnight & Day Camps
Other:
Clear selection
Would you be willing to participate in a brief interview about your experience with the Akron Area YMCA?
*
Interview should last no more than 30 minutes.
Yes
No
When would you be available for an interview
Please indicate which days and times would be best for us to speak with you, if you answered yes to the previous question. (Check all that apply)
Morning
Afternoon
Evening
Anytime
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Morning
Afternoon
Evening
Anytime
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Clear selection
How has the Akron Area YMCA made an impact on you?
*
What do you find interesting or unique about your experience at the Y?
Your answer
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