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Your Personal Details Name (required) Address Line 1 Address Line 2 Address Line 3 Town Postcode Telephone (daytime) Telephone (evening) Email (required) Name of child Day and Time of lesson Monday Tuesday Wednesday Thursday Friday Saturday Sunday Name of centre Eyemouth Leisure Centre Galashiels Swimming Pool Kelso Swimming Pool Peebles Swimming Pool Selkirk Fitness Centre Teviotdale Leisure Centre
1. On a scale of 1-10 (10 being the best), how would you rate your overall experience of the Swim Borders Learn to Swim Scheme? 10 9 8 7 6 5 4 3 2 1
2. If not a 10, what would make it a 10?
3. Please rate the following using the same 1-10 scale.
4. Was there any member of staff who was particularly helpful? Yes No Why?
5. Would you recommend us to a friend? Yes No
6. We would welcome any additional comments regarding your childs lessons.
Thank you for taking the time to fill in our Swim Borders Customer Feedback form. The information you have provided will help us improve the standard of our service.
All completed Customer Feedback forms are read by the Centre Manager. Please indicate if you would like us to contact you to discuss any matter further? Yes No
Data Protection Act 1998.On submitting this form your details will be held on a database managed by Borders Sport and Leisure Trust and may be used to inform you of activities, events and promotions.If you do not want to be included on the database please tick this box.
ENQUIRY FORM