Programming Survey
As we prepare to open back up for 5 day a week programming in September, we would like your feedback on what YOU want to see at YOUR CENTER!

We want to hear your opinions so we can improve upon and expand our programs. Please fill out this survey and let us know your thoughts (your may opt for your answers to remain anonymous). This survey will be open through Friday, July 30. Thank you for sharing your thoughts and ideas!
What types of EXERCISE programs are you, personally, interested in participating in at the center? (You may make multiple selections.) *
Required
If you selected other, please indicate what EXERCISE program(s) you would be interested in.
What types of CLASSES or CLUBS would you, personally, be interested in participating in? (You may make multiple selections.) *
Required
If you selected other, please indicate what CLASSES or CLUBS you would be interested in.
What types of SPEAKERS would you, personally, be interested in hearing? (You may make multiple selections.) *
Required
If you selected other, please indicate what types of SPEAKERS you would be interested in. (Or, you may use this space to specify what topics you would like to learn more about.)
What types of TRIPS would you, personally, be interested in participating in? (You may make multiple selections.) *
Required
If you selected other, please indicate what TRIPS you would be interested in. (Or, use this space to specify where you would like to travel.)
What is the most you would be willing to spend on a trip? (Choose N/A if you are not interested in trips.) *
What types of GAMES would you, personally, be interested in participating in? (You may make multiple selections.) *
Required
If you selected other, please indicate what GAMES you would be interested in.
What types of ENTERTAINMENT would you, personally, be interested in participating in? (You may make multiple selections.) *
Required
If you selected other, please indicate what ENTERTAINMENT you would be interested in. (Or, you may use this space to list specific entertainers.)
What types of PERSONAL CARE SERVICES would you, personally, be interested in participating in? (You may make multiple selections.) *
Required
If you selected other, please indicate what PERSONAL CARE SERVICES you would be interested in.
We plan to continue to offer lunches both onsite and as a takeout option. In general, how would you anticipate getting your meal? *
Please use this space for further suggestions/comments.
What is your age? *
What is your gender? *
Name & Contact Info (Optional)
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