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2. Note:
   Please sit down with your child and complete this anonymous form. We use this valuable information when considering changes and planning in the future.
4. What type of program?*

   1. Expressive Arts
   2. General Recreation
   3. Sports including clinics & lessons
5. Program?*
   -- Select One --Airborne AdventuresBaseballChess ClubDessie Jacobs SoftballFishing FunshopImagine That Intro to PaintJunior OlympicsLacrosse (Boys & Girls)Nature AwaitsRole Playing Game GroupPottery Puppet MakingTae Kwon DoTennis LessonsTheatre BuffetTrackUltimate FrisbeeYouth Yoga
7. Which Session(s) or Class Level &/ or Day of the week?

   If you are unsure of the name if you can at least give us the day of the week and time it meets would help us.

8. If Sports League Program, what Level or Grade sub-division of the Program:

   1. Baseball - Coach Pitch: 1st & 2nd Grade
   2. Baseball - Kid / Coach Pitch "Hybrid": 3rd & 4th Grade
   3. Baseball - Tee Ball: Kindergarten & 1st Grade
   4. Baseball - Pre-K Basics
   5. Dessie Jacobs Softball - National League: 4th-6th Grade
   6. Dessie Jacobs Softball - Prep League
   7. Lacrosse - Boys (K-2nd)
   8. Lacrosse - Boys (3rd & 4th)
   9. Lacrosse - Boys (5th & 6th)
   10. Lacrosse - Girls (K-2)
   11. Lacrosse - Girls (3rd-6th)
10. How did you find out about the program?*

    Check all that apply

    1. Facebook / Social Media
    2. Friend
    3. Community Pass Email
    4. I-Playcard
    5. Website
11. If Facebook or Social Media, which one?

    1. an IYB Account
    2. in a Facebook Group
    3. shared with me by a friend
12. Which Facebook group did you see it in?
14. If web, which site?

    1. IYB Rec
    2. Community Pass Catalog
    3. Other Website
15. How did you register? *
    -- Select One --OnlineIn Person @ Cass or the IYBOver the phone
16. If online, what type of device did you use?
    -- Select One --DesktopPhoneTabletLaptop
18. If online, was the catalog easy to access and maneuver through?

    1. Yes
    2. No
19. Any additional thoughts about the online catalog?
21. 1. Are you a City of Ithaca resident?

    1. Yes

    1. No
22. 2. The program fee was reasonable?

    1. Yes
    2. No

    1. Not Sure
23. 3. I feel / felt confident and safe (leaving my child) here.

    1. Yes
    2. No
    3. Not Sure
25. 4.a. I / My child felt welcomed in the class / program.

    1. Absolutely
    2. Mostly

    1. Somewhat
    2. Not at all
26. 4.b. Why or why not?
28. 5.a. I / My child felt included in the class / program.

    1. Absolutely
    2. Mostly

    1. Somewhat
    2. Not at all
29. 5.b. Why or why not?
31. 6.a. I / My child was eager to attend each session.

    1. Yes
    2. No
    3. Sometimes
32. 6.b. Why or why not?
34. 7. I am able to get information I need and answers to questions I have about the class or program.

    1. Always
    2. Mostly
    3. Sometimes
    4. Not at all
35. 8. Participants were encouraged to be respectful of others.

    1. Yes
    2. No
    3. Not Sure
37. 9. My (child's) overall experience with the program was _________.

    1. Great
    2. Good
    3. Average
    4. Bad
38. 10. The program expectations & goals / objectives were shared.

    1. Yes
    2. No
    3. Not Sure
39. 11. I / My child made new friends.

    1. Yes
    2. No
    3. Not Sure
41. The best thing(s) about this program is/are:
43. The least thing(s) liked or that needs improvement about this program is/are:
45. Is there anything else you would like to share with us?
47. I would recommend this program to others.

    1. Yes
    2. No
    3. Maybe
48. Why?
50. I plan to return for other IYB Rec Programs

    1. Yes
    2. No
    3. Maybe
51. Why?
53. Thank you for taking the time to give us your feedback, we greatly appreciate it!
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55. Submit

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