SURVEY FORM
Gender
Male
Female
Race
Chinese
Malay
Indian
Others.
(please specify)
Age Group
50-54 yrs
55-59 yrs
60-64 yrs
65-69 yrs
70-74 yrs
75-79 yrs
80-84 yrs
> 85 yrs
Educational Qualifications
Primary
Secondary
Post-Secondary
Degree
Others:
(please specify)
Occupation
Employed Full-Time
Employed Part-time
Retired
Housing type
1-2 room flat
3-room flat
4-room flat
5-room & above/HUDC/Executive
Private housing (condominium/landed)
Others:
(please specify)
1. Why do you want to take up a course?
Self-improvement
For employment
Interest in subject matter
To socialise
For volunteering purpose
To keep my mind active & engaged
To stay connected to society
Others:
(please specify)
2. What is the most important factor when signing up for a course? (Please tick only one)
Interest in subject matter
Course location
Course fees
Course provider/ organisation
Others:
(please specify)
3. Please indicate the categories of courses that you may be keen to learn in future.
Health & Wellness
IT & Science
Ageing & Life Skills
Humanities
Media, Arts & Design
Finance & Business
Others:
(please specify)
4. Please indicate the specific course/s that you may be keen to attend in future.
COURSE EVALUATION
Please share your experience of a recent NSA course you attended.
Course Title:
Course Provider/ Organisation:
5. How would you rate the course you have attended?
Excellent
Good
Satisfactory
Poor
Very Poor
6. Are you satisfied with the pace of lesson delivery?
Yes
No
7. Has the course increased your desire to learn new skills/ Knowledge?
Yes
No
8. Would you recommend this course to others?
Yes
No
9. If you answered "No" to any of the questions above, please state why. Kindly include other comments/suggestion as well.
10. What have you gained from the course?
Practical knowledge
Soft skills
Confidence to learn other new things
Widened my social network
Others:
(please specify)
11. Are you interested in joining any volunteering activities?
Yes, please provide contact information below
Name:
E-mail:
Contact:
No
12. How did you find out about National Silver Academy (NSA)?
C3A Website
C3A App
C3A Social Media (E.g. Facebook, Instagram)
C3A Broadcast Channel (E.g. Telegram, WhatsApp)
C3A Emails
Advertisements (E.g. Newspaper / Radio)
Please specify
Google Search
Course Providers / Voluntary Welfare Organisations
Word-of-mouth
Events / Roadshows
Others:
(please specify)
13. Is there anything you may wish to say to Future NSA participants?
~ Thank you for your valuable feedback ~