2. Thank you for visiting the Christiansburg Aquatic Center. If there is something we have done especially well or an area in which we can approve, please let us know. We would like to know how we are doing and how we may better serve you. Your comments are greatly appreciated.
6. Date and Time of Visit
   Date and Time of Visit

   Date and Time of Visit
10. Grading Descriptions
    5=Excellent
    Facility and/or staff expectations were exceeded
    
    4=Good
    Facility and/or staff expectations were met and sometimes exceeded
    
    3=Satisfactory
    Facility and/or staff was adequate and expectations were sometimes met
    
    2=Fair
    Facility and/or staff often failed expectations and could use improvement
    
    1=Poor
    Facility and/or staff consistently failed to meet expectations and improvements are a must
14. Facility
16. First Impression*
    -- Select One --54321N/A
17. Safety*
    -- Select One --54321N/A
18. Cleanliness & Appearance*
    -- Select One --54321N/A
20. Size*
    -- Select One --54321N/A
21. Equipment*
    -- Select One --54321N/A
22. Location*
    -- Select One --54321N/A
26. Staff
28. Staff Knowledge*
    -- Select One --54321N/A
29. Front Desk Greeting*
    -- Select One --54321N/A
30. Lifeguard Professionalism*
    -- Select One --54321N/A
32. Lifeguard Attentiveness*
    -- Select One --54321N/A
33. Attitude of Personnel*
    -- Select One --54321N/A
34. Speed of Service*
    -- Select One --54321N/A
38. How did you learn about our facility?*

    1. Newspaper
    2. Email
    3. Other, please explain below

    1. Radio
    2. Social Media

    1. Flyer
    2. Family/Friend

    1. Brochure
    2. Previous Customer
40. Other
44. Please use this space to make additional comments to help us better serve you.
48. Staff Follow-Up

    I would like to receive more information and/or discuss my concerns with someone...

    1. In Person

    1. By Phone
50. Name*
51. Phone*
52. Email*
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

* indicates a required field