YMCA Youth Program Questionnaire
Thank you for taking a minute to give us your valued opinion! We’re always looking for ways to make supervised youth programs more accessible, flexible, and meaningful for everyone. We know that families have various needs for care and we were wondering if you could tell us more about your family's needs. THANK YOU for your help.
Name
*
First Name
Last Name
Email
*
example@example.com
In which city will your family reside during the 2025/26 school year?
*
What school, if any, will your children be enrolled in during the 2025/26 school year?
*
What are the ages of your children?
What are the factors or barriers to registering for YMCA supervised youth programming? (Check all that apply).
I don't know how or where to register.
I need more information in order to decide to register.
I have free/low cost childcare already planned elsewhere (including older children, self, family member, other).
I have paid childcare already planned elsewhere.
I have financial considerations in order to decide.
I'm uncertain about our family's schedule so I am not able to register yet.
The schedule doesn't work for my family.
Other
You mentioned that financial reasons factored into your decision making. If you don't mind, would you be willing to check all that apply to your situation?
I'm concerned that the cost of the Y program is more than I can spend.
I'm concerned that the payment schedule will be difficult for our family.
I have multiple children and I'm concerned that the cost will be a barrier.
I don't think I will qualify for financial assistance, but cost is a factor.
If the aforementioned factors were not barriers, would you consider registering in a Y supervised youth program?
Yes
No
Other
If you didn't have any barriers, would you be interested in registering in an After School Program, Preschool Program or both?
After School
Preschool (Only available in Port Townsend at this time)
Both
>> Your answers so far have been so helpful. You're almost done!
What, if anything, would make it more likely you would register for supervised youth programming starting this Fall? Select all that apply.
*
Additional financial assistance or payment plan options.
Help registering.
Answer some questions for me.
The opportunity to register at the last minute.
Transportation/carpool options.
An After School Program at Chimacum Elementary.
An After School Program at the YMCA of Port Angeles.
A Preschool Program at the YMCA of Sequim.
An After School Program at another location (please specify by clicking "Other" below and adding your own answer).
Nothing right now, but thank you for asking!
Other
How is it best for you to hear about youth program details in the future? (Examples: Email communication, Social Media, Newspaper, School Communication, Direct Mail, etc.)
Do you need help registering your children in one of youth care programs? If so, someone can give you a call. Please make sure you include your phone number below.
Yes
No
Phone Number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
THANK YOU FOR YOUR HELP! Your feedback helps us grow and improve, and most importantly, helps us make sure that our programs work for you and your family!
Submit
Should be Empty: