Graphic Design Request 2.0

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We are very sorry to hear that you have chosen to withdraw your membership at The Roth Family JCC of Greater Orlando. Please complete this brief survey so that we may improve the quality of our services and better serve our members. Questions? Contact 407-645-5933.

Name*

First Name

Last Name

E-mail*

How would you rate your overall experience as a member of the JCC?*

Very Satisfied
Satisfied
Neither satisfied nor unsatisfied
Unsatisfied
Very Unsatisfied

What parts of the JCC did you utilize most?*

Do you read the weekly newsletter?*

Are there any programs, services, or facilities that you were looking for and we did not offer?*

The JCC offers financial assistance to those who are unable to afford our services. Would you be interested in having someone call you about these options?*

Yes
No

Comments and Suggestions

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First Name

Last Name

Phone

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