Village Green Community Center Adult Activities Survey
The Place That Connects and Strengthens Our Community. Community Means YOU! Please help us define our 2019 Program Priorities by Completing this Survey
My Age is
My Living Situation is
I live alone
I live with my spouse/partner/roommate
I live with my children
I live in assisted living
Also in My Household
My home is # miles from the Village Green
My zip code is
I depend on public transportation
The public transportation I use is:
My Health Insurance Provider is:
Medicare + Supplemental/Advantage
My Occupation Is:
My Hobbies are (e.g. crafts, gardening, fishing)?
My Areas of Interest (e.g.,travel, arts & crafts, writing, games, history, environment)?
I am Interested in Volunteering for the Village Green
I Learn About Events in the Community Using:
Newspapers: Community News, Kitsap Herald, other (specify below)
Newsletters: Village Green, Kitsap Library, other (specify below)
Posted Fliers: Retail/Grocery Stores, Post Office, other (specify below)
Electronic Billboards: Lindvog Road, Village Green Lobby, other (specify below)
Social Media: Facebook, Twitter, other (specify below)
, other (specify below)
The Best Way to Reach Me is
Have you visited the Village Green Community Center?
If not, why?
I did not know about it
I am unable to travel there because (specify below)
I have no interest
I cannot afford the fees
Events happen after dark
If Yes, What Was/Were the Purpose of Your Visit?
Senior Center or Social
Meals on Wheels
Boys & Girls Club
What Was the Best Thing about Your Village Green Experience?
How Could Your Village Green Experience be Improved?
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