Tell Us What you Think | Fauquier County, VA

1

Date of Visit

*

Date of Visit

2

Name of Facility

3

Name of program or event

Rate the facility: (1 to 5 with 5 being the highest rating)

4

Cleanliness

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2

3

4

5

Safety

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2

3

4

5

6

Fees

1

2

3

4

5

7

Overall

1

2

3

4

5

Rate the staff/instructor: (1 to 5 with 5 being the highest rating)

8

Availability

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2

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4

5

9

Knowledge

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2

3

4

5

10

Overall

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2

3

4

5

11

Name of staff you interacted with

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How did you hear about us?

Good Times

Website

Facebook

Flyer

Department Mailing

Word of Mouth

13

What other programs/services would you like to see offered?

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Comments:

15

Name and Phone Number (Optional)