KIWANIS-FAMILY MEMBERSHIP SURVEY
1. Which Kiwanis Family organization are you a member of?
Key Club
Circle K
Kiwanis
2. Gender: Male
Female
3. What is your age?
4. How many years have you been a member of the Kiwanis Family organization?
5. Who led or invited you to become a member of this organization?
Friends
Family
Instructor
Business Associate
Other
6. What about this organization do you enjoy the most?
Fellowship Opportunities
Leadership Opportunities
Service Opportunities
7. Were you in a Kiwanis related program prior to the one you are currently involved with?
Yes
No
If yes please check the appropriate program below:
K-Kids
Builders Club
Aktion
Key Club
Circle K
8. Members of Key Club or Circle K, do you plan to continue your membership in the Kiwanis Family?
Yes
No
Why or why not?
9. How would you rate your Kiwanis Family organization on the follow topics?
Service Projects:
1. Good
2. Fair 3. Neutral 4. Poor 5. Bad
Social Functions
1. Good
2. Fair 3. Neutral 4. Poor 5. Bad
Leadership Programs
1. Good 2. Fair 3. Neutral 4. Poor 5. Bad
10. Have you served as an officer in this organization?
Yes No
If yes please list
11. What is your overall impression of:
Kiwanis
1. Good
2. Fair
3. Neutral
4. Poor
5. Bad
Circle K 1. Good
2. Fair
3. Neutral
4. Poor
5. Bad
Key Club 1. Good
2. Fair
3. Neutral
4. Poor
5. Bad
12. If not planning to join Kiwanis, what suggestions do you have to make membership more appealing to you? Be sure to include service and social events, and any additions or alterations to the organization that you would personally find attractive (e.g. an additional level of the K-Family specifically designed for one age group, such as 25-45).
Email Address:
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