JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Fairfax Senior Citizens Center Survey
We would love to hear your thoughts or feedback on how we can improve your experience!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
How Would You Rate The Center?
*
Awesome
Great
Good
Needs Improvement
Terrible
How Long Have You Been Going To The Center?
*
Over 10 Years
Over 5 Years
1 Year to 5 Years
1 Month
New to the Center
Does The Center Improve The Quality of Your Life?
*
Yes
No
What Do You Like Most About The Center?
*
Your answer
What Would You Improve At The Center?
*
Your answer
If You Could Add Any Class or Event At The Center, What Would It Be?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of City of Los Angeles.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report