ZUMBA DANCE Program Survey

Name (Optional): ______________________ Age: _______________________

Gender: Male Female

Instructions: Using the 5 point scale shown below. Rate the following questions by placing a
check in the box. Please answer the questions honestly. Do not leave each item unanswered.

Scale:

o 1 = Very Dissatisfied
o 2 = Dissatisfied
o 3 = Neutral
o 4 = Satisfied
o 5 = Very Satisfied

QUESTION (1) (2) (3) (4) (5)

Very Dissatisfie Neutral Satisfied Very
Dissatisfied d Satisfied
1. How satisfied were
you with the overall
experience of the first
session?

2. How well did the first

session meet your
expectations?

3. How well did the

instructor introduce
the program and its
objectives during the
first session?

4. Rate the clarity of

instructions provided
for the dance
workouts during the
first session:

5. Would you
recommend this
program to others
based on your
experience during the
first session?

Thank you for taking the time to share your thoughts with us! Your feedback is incredibly
valuable and will help us improve the ZUMBA DANCE program. We appreciate your
contribution and look forward to making our program even better based on your insights!