Rock Island Arsenal
Child, Youth and School Services
SKIESUnlimited Questionnaire

Please take a moment to fill out this short questionnaire about a new program we will be bringing to RIA’s Child, Youth & School Services.

 NOTE: SKIESUnlimited Classes are Instructional in nature (not competition based) and done in a fun, safe, and encouraging way to help strengthen a child’s self-esteem while learning a new skill. Fees are generally 15-25% below comparable off-post facilities. Instructors have quality training and experience in their field, and are required to go through CYSS training and background checks before working with children.

 1.Does your child currently attend Instructional classes (i.e., Dance, Martial Arts, Music, etc) at any off-post facilities not associated with MWR or RIA?    Yes      No     If no, skip to Question 5.

 2.      What type of classes is your child in? 

 3.      Approximate monthly fee for your child’s class:

 4.      In determining where to take your child for classes, please rate what influenced your decision to sign up your child for those classes. (rate 1-7, 1 being most influenced, 7 being least influenced. If it was not a factor please leave it blank.)

     Instructors qualifications

     Price

     Appearance of Facility

     Class times

     Security of facility

     Distance

     Transportation Convenience/Option

   Other: (Please explain)   

5.   What classes would you like to see offered at RIA?

   Ballet   Kindermusik
  Tap   Drama/Theater
 

Jazz

   Sign Language
  Hip-hop   Art
  Karate   Cooking
  Tae Kwon Do   Tumbling
  Spanish   Gymnastics
 

German

   Cheer
  Piano   Fitness
  Guitar Other: (please list)    
  Sewing  

6.      Of the above classes, would you be interested in any that were Parent and Child classes?   
    Yes      No

       If so, which ones? 

 7.      Do you have training in one of the above mentioned areas and would be interested in learning more about teaching classes: 
     Yes      No   If yes,(list area)       

If yes, please provide your name and phone number:   

 8.      If you were to enroll your child in SKIESUnlimited classes’ on-post, what times would work best for your schedule?

   Weekday Mornings (9am-11am)

   Weekday Lunch time (11am-1pm)

   Weekday Afternoons (1pm-3pm)

   Weekday Afterschool (3pm-5pm)

   Weekday Early Evenings (5pm-7pm)

    Saturdays (9am-noon)

   Sundays (9am-noon)

   Other   

 9.  Is your child currently enrolled in CYSS Programs?  Yes      No  

10.  If you child attends the CDC full-time would you be interested in them participating in SKIES programs on weekday mornings for a small fee?    Yes      No   

 11.  Please list your child(ren)’s age:  

 12.  In which city do you live? 

 13.  If you would like to be contacted about these classes or receive information as it becomes available please provide your name and e-mail address below.

 Name:      E-mail     

Thank you for completing our survey!