Senior Community Center Satisfaction Survey
We want your feedback! Your anonymous responses will be shared in our final report to the Pennsylvania Department of Aging, and may be shared with your center so that they may make improvements as necessary.
Your Center received a grant from the Pennsylvania Department of Aging (PDA) to make improvements to the center and/or its programs. Has the funding your center received impacted your participation or your feelings about the center? If so, please tell us how. Please be specific.
Please indicate the degree to which you agree with each statement:
/Strongly Agree
/Agree
/Neutral
/Disagree
/Strongly Disagree
Overall I am very satisfied with the quality of my Center / / / / / My Center has an impact on my well-being / / / / /
My Center is outdated / / / / /
I feel safe while I am inside my Center / / / / /
I feel safe in the parking lot of my Center / / / / /
I would go to my Center more often if they offered different programs/activities / / / / /
I would recommend this SCC to others / / / / /
Because of the grant from the Pennsylvania Department of Aging, the Center has improved / / / / /
Please indicate the degree to which you agree with each statement:
Due to my attendance at my SCC:
/Strongly Agree
/Agree
/Neutral
/Disagree
/Strongly Disagree
I feel happier / / / / / I am able to be more independent / / / / /
I take better care of my health / / / / /
I feel less lonely / / / / /
I am more physically active / / / / /
I have something to look forward to / / / / /
I feel more connected to my community / / / / /
I feel more knowledgeable about how to get the resources I need / / / / /
I connect with friends & family more often / / / / /
I eat healthier meals / / / / /
I feel engaged in the world around me / / / / /
I learn new things / / / / /
I volunteer more often / / / / /
I am better able to concentrate / / / / /
Additional Comments:
How would you rate the quality of your Center’s programming?
/Very Good
/Good
/Okay
/Fair
/Poor
/NA – My Center does not offer this, or I do not participate
Life Skills(Improving or facilitating independence, tax prep, insurance, connection to local resources, etc.) / / / / / /
Fitness
(Exercise classes & equipment, etc.) / / / / / /
Social/recreational
(Games, crafts, dances, etc.) / / / / / /
Wellness
(Screenings, speakers, programs, nutrition classes, nurse visits, etc.) / / / / / /
Cultural activities
(Theater, music, art, etc.) / / / / / /
Technology
(Computers, iPads/tablets, internet access, computer classes, etc.) / / / / / /
Education
(Courses provided by local schools for credit or non-credit) / / / / / /
Spiritual
(Religious or non-religious) / / / / / /
Travel
(Day trips or more extensive) / / / / / /
Additional Comments:
How would you rate the quality of your Center in terms of the following:
/ /Very Good
/Good
/Okay
/Fair
/Poor
/NA – My Center does not offer this, or I do not participate
Safety / / / / / / Condition of facilities / / / / / /
Accessibility
(days of operation) / / / / / /
Accessibility
(hours of operation) / / / / / /
Location / / / / / /
Quality of meals offered / / / / / /
Ease of registration/sign-in / / / / / /
Attentiveness & availability of staff / / / / / /
Opportunities to volunteer / / / / / /
Opportunities to socialize / / / / / /
Additional Comments:
Is there anything else you'd like to tell us about your center?
Please tell us about yourself:
Gender / Male / Female / Prefer not to answer / /
Race / White/
Caucasian / Black/
African- American / Hispanic/ Latino / Asian / Other:
(Please specify)
/ / /
Age /
Younger than 60
/61-65
/66-70
/71-75
/76-80
/81+
/ / / / / How long have you been participating in activities at the Center? / Less than 1 month / 1-6 months / 7-12 months / 1-2 years / 2-5 years / More than 5 years
/ / / / /
How often do you participate in activities at the Center? / Less than once per month / Once per month / 2-3 times per month / Once a week / 2-3 times a week / Daily
/ / / / /
How long do you typically stay at the Center during an average visit? / Less than 1 hour / 1-2 hours / 2-3 hours / 3-4 hours / More than 4 hours
/ / / /
How did you learn about the Center?