Sample Surveys

MEMBER SATISFACTION SURVEY - To download the full template document, please click here.

; When replacing the “staff” field, keep it plural, as in “volunteers,” “leaders,” “helpers” etc.

; please insert “the” before the organization name, such as “the Jewish Community Center”

Please answer the following questions about your membership in $!our organization!$.

Q. Tenure
How long have you been a member of $!our organization!$?
() Less than 1 year
() 1 - 2 years
() 3 - 4 years
() 5 years or more
() Don’t know

Q. HowHeard
How did you hear about $!our organization!$. Mark all that apply.
[] Other member
[] Friend or family
[] Newspaper
[] Internet
[] Another organization
[] Mailed information
[] Other_____________

Q. OverallExperience
Please rate your overall experience with $!our organization!$.
() Excellent
() Good
() Average
() Poor
() Very Poor
() Don’t know

Q. Information
Please rate $!our organization!$’s efforts to keep members informed about upcoming events.
() Excellent
() Good
() Average
() Poor
() Very Poor
() Don’t know

Q. SpiritualNeeds
Please rate $!our organization!$ on meeting your spiritual needs.
() Excellent
() Good
() Average
() Poor
() Very Poor
() Don’t know

Q. Events
Please rate $!our organization!$ on conducting satisfying events.
() Excellent
() Good
() Average
() Poor
() Very Poor
() Don’t know

Q. PrimaryDriver
Please list the single most important reason you became a member of $!our organization!$.
_____________________
_____________________
_____________________

Q. OtherDrivers
Please list the other reasons you became a member of $!our organization!$.
_____________________
_____________________
_____________________

Q. Reservations
Please list any reservations you had about becoming a member of $!our organization!$.
_____________________
_____________________
_____________________

Q. Communications
Please consider the communications (mail, email, phone calls, etc.) you receive from $!our organization!$. Do we contact you…
() Far too much
() Somewhat too much
() Just the right amount
() Somewhat too little
() Far too little
() Don’t know

Q. JoinAgain
If you could go back in time, would you still become a member of $!our organization!$.
() Definitely
() Probably
() Maybe
() Probably not
() Definitely not
() Don’t know

Q. Renew
Will you continue your membership with $!our organization!$ in the future?
() Definitely
() Probably
() Maybe
() Probably not
() Definitely not
() Don’t know

Q. Recommend
Could you confidently recommend $!our organization!$ to others?
() Definitely
() Probably
() Maybe
() Probably not
() Definitely not
() Don’t know

Q. LeadershipSatisfaction
Please rate your overall satisfaction with the leadership of $!our organization!$.
() Excellent
() Good
() Average
() Poor
() Very Poor
() Don’t know

Q. OverallSatisfaction
Please rate your overall satisfaction with $!our organization!$.
() Excellent
() Good
() Average
() Poor
() Very Poor
() Don’t know

Q. Improve
Please provide one way that $!our organization!$ can improve the services it provides to members.
_____________________
_____________________
_____________________

S. Demographics
Please answer the following questions to help us better understand our members.

Q. ZipCode
What is your zip code? _____________

Q. Gender
What is your gender?
() Male
() Female

Q. Age
How old are you?
() Under 20 years
() 20 - 24
() 25 - 29
() 30 - 34
() 35 - 39
() 40 - 44
() 45 - 49
() 50 - 54
() 55 - 59
() 60 - 64
() 65+

Q. Education
Which of the following best represents the highest level of education that you have completed?
() Some high school or less
() High school graduate
() Attended some college
() Associates degree
() Bachelors degree
() Post-college graduate

Q. EmploymentStatus
Are you currently employed?
() Yes, full-time
() Yes, part-time (30 hours or less per week)
() No

Q. MaritalStatus
What is your marital status?
() Married
() Single, never married
() Widowed
() Separated or divorced

Q. Children
What are the age ranges of any children (18 years or younger) living in your household? (Choose all that apply)
[] 5 years old or younger
[] 6-12 years old
[] 13-18 years old
[] Have no children 18 or under living in household

Q. Income
Which of the following best describes your total household income before taxes last year?
() Under $10,000
() $10,000 - $19,999
() $20,000 - $29,999
() $30,000 - $39,999
() $40,000 - $49,999
() $50,000 - $59,999
() $60,000 - $69,999
() $70,000 - $79,999
() $80,000 - $89,999
() $90,000 +

Q. Creditcards
Which credit cards do you use regularly?
[] American Express
[] MasterCard
[] Visa
[] Discover/Novus
[] Diners Club
[] Department Store
[] Gasoline Co.
[] Do not use credit cards

 

 

 

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