Please take a few minutes to complete this Members Survey/Feedback form. Thank you for your time in helping us to serve you better.

* Mandatory Fields

1. Contact Information:

Name*
Membership No.*
The fields below can be left blank if no changes were made since your last update to the Club.
Email Address*
Contact No.
Mailing Address


2. How often do you visit the Club? Choose the answer which is most appropriate to you.


3. When you visit the Club, which of the following facilities do you use most often? Please tick and state the reason of use.

 Gym
 Jacuzzi
 Sauna
 Steam Room
 Swimming Pool
 Learning Vision
 Imperial Court Restaurant
 Beauty Face Spa and Wellness
 Karaoke
 Others (please specify)


4. The following are new facilities in the Club. Please state the reasons of use and tick accordingly.

 Pat’s Schoolhouse
 Brighton Montessori
 Jackpot room
 Ei8hth Avenue
 Muslim Delights Restaurant


5. Do you have any suggestions for improvement? If yes, please state the facilities and areas of improvement.


6. Which of the following activities have you participated before? Please tick and state the reason for participation.


TRAVELLING
 Local educational tours (e.g. Visit to local attractions)
 1-Day trip to Malaysia (e.g. Durian trip, Malacca)
 Overnight overseas trip (e.g. Trip to Batam)
EDUCATIONAL
 Hands-on courses (e.g. Cooking, Jewellery making)
 Physical courses (e.g. Yoga, Zumba)
 Talks (e.g. Financial, Investment, Health)
SOCIAL / RECREATIONAL
 Celebration Dinner
 Mahjong competition
 Members’ Night
 Others (please specify):


7. The following Club Activities have been planned for 2016. Please tick the activities that you are interested in.

 Durian Fiesta (August)

 Gelato making workshop (September)
 BBQ Theme nights (Bi-Monthly)
 Gardening
 Pet Workshop – Learning to care for small mammals (October)
 Zumba Class
 Balloon Sculpting Workshop
 Tombola Night (Bi-Monthly)
 Eyecare Talk
 Visit to Singapore Pools HQ (October)
 CPF Talk
 Fishing Trip at Tanjung Pinang
 Yoga Class
 5 days-4 nights Trip to Bangkok


8. Feedback about the Club ?