By signing our Guest Book and taking CTFD’s Client Survey you will play an important role helping us strengthen our programs and services for current and former dancers.
All personal information and responses provided will be held in strict confidence and will not be available for public examination or use. Survey responses may be periodically quantified for statistical reporting purposes, however, under no circumstances will individual names be used for attribution.
Please note that you can fill out the Survey without including your name, address, phone or email address.
Guest Book Sign-In
First:
Middle:
Last:
Address Type:
Home
Business
Both
Address (Line 1):
Address (Line 2):
City:
State:
Zip:
Telephone:
Ext:
Fax:
Email address:
May we contact you for follow-up:
Y
N
Would you like to be placed on our mailing list:
Y
N
Survey
Your Dance Background
Your dance discipline(s) as a paid professional:
Ballet
Modern Dance
Musical Theatre
Variety
TV/Film
Number of years as a paid professional:
Under 4
5-9
10-14
15-19
20-24
Over 25
Union affiliation (past or present):
AEA
AFTRA
AGMA
AGVA
SAG
If retired, how old were you when you stopped performing?:
20-24
25-29
30-34
35-39
Over 40
Current CTFD Programming:
Have you used any of CTFD’s programs or services?
Y / N
If yes, please place a check in the box next to those CTFD program(s) or services you used, then indicate your level of satisfaction with the service received by checking the appropriate box:
Career Counseling
Very Satisfied
Mostly Satisfied
Needs Improvement
Dissatisfied
Educational Scholarships
Very Satisfied
Mostly Satisfied
Needs Improvement
Dissatisfied
"Career Conversation" Seminars
Very Satisfied
Mostly Satisfied
Needs Improvement
Dissatisfied
"Career Focus Group"
Very Satisfied
Mostly Satisfied
Needs Improvement
Dissatisfied
Other:
Very Satisfied
Mostly Satisfied
Needs Improvement
Dissatisfied
If you marked any response "Satisfied", "Needs Improvement", or "Very Dissatisfied," please help us improve our services by writing a few comments in the space below. All comments will be held in strict confidence. Your responses will in no way impact your ability to apply for or utilize CTFD’s services, including scholarship support.
Scroll to the bottom of the page to submit your responses...
Possible Future Programming
Please check any of the following potential programs or services that you might participate in:
Web-based Chat Group
Web-based Career Counseling
In-person Networking/Support groups
Serve as a Mentor
Work with a Mentor
Internships
Computer Training
Please use the space below to describe any suggestions you might have to help strengthen CTFD’s programs and services:
