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
Email address *
My Age is
My Living Situation is
Also in My Household
My home is # miles from the Village Green
Your answer
My zip code is
Your answer
I drive
I depend on public transportation
The public transportation I use is:
Your answer
My Health Insurance Provider is:
My Occupation Is:
Your answer
Retired?
My Hobbies are (e.g. crafts, gardening, fishing)?
Your answer
My Areas of Interest (e.g.,travel, arts & crafts, writing, games, history, environment)?
Your answer
I am Interested in Volunteering for the Village Green
I Learn About Events in the Community Using:
The Best Way to Reach Me is
Have you visited the Village Green Community Center?
If not, why?
If Yes, What Was/Were the Purpose of Your Visit?
What Was the Best Thing about Your Village Green Experience?
Your answer
How Could Your Village Green Experience be Improved?
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service