Annual Interest Survey
AFFILIATION: What is your affiliation with the Maryland Mensa gifted youth program?
My child is a Young Mensan (or multiple children).
I am a member of Maryland Mensa with a non-member youth(s).
I am a member of Metropolitan Washington Mensa with a non-member youth(s).
We are non-member participants.
GROUPS: Which group(s) are you interested in?
Early Explorers (0-5 years)
Seekers (6-12 years)
Teen Titans (13-17 years)
Homeschooling (all ages)
INTEREST AREAS: Make as many selections as appropriate and use the other function to add specificity!
Social / Get-Togethers
Games and Game Events
SCHEDULING: What day(s) of the week would you prefer we host activities?
AVAILABILITY: How busy is your dance card?
VERY busy, it will be a struggle to fit Mensa activities into our schedule.
Somewhat busy, but we'll be there when we can.
We'll be there more often than not (pending interest and location, of course!)
LOCATION: Where would you be most likely to attend activities?
You may select multiple areas, but please focus on those closest to you!
Western Maryland (Garrett, Allegany, Washington)
Central Maryland (Baltimore City / County, Harford, Frederick, Carroll, Howard, Anne Arundel)
Southern Maryland (Charles, Calvert, St. Mary's)
Eastern Shore (Cecil, Kent, Queen Anne's, Talbot, Caroline, Dorchester, Wicomico, Somerset, Worcester)
Other (Montgomery, Prince George's)
HOST: Would you be willing to host an event (with help)?
Yes! I'll leave my contact info in the other box!
Sorry, we can't at this time.
OTHER: Feel free to use this space to address any ideas, issues, or other information that you'd like to pass along including any recommendations for improving our monthly activity e-mail!
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