DCA Members Survey
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1. Default Section
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1
. Why did you become a DCA Member?
Why did you become a DCA Member?
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2
. Which DCA events have you attended within the past two years?
Select all that apply:
Which DCA events have you attended within the past two years? Select all that apply:
Family Picnic
Sjoel & Pool Barbecue
Fall Walk & Lunch
Sinterklaas Dinner & Dance
New Year's Reception
Skating at Rideau Hall
Cross-country Skiing
Tea & Talents
Vroege vogels birdwatching
Group Dinners (e.g. Indonesian, Schnitzel Evening)
Koffie uurtje
Movie Evenings
None
Other (please specify)
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3
. Which of the following DCA events are you planning to attend in the coming year?
Select all that apply:
Which of the following DCA events are you planning to attend in the coming year? Select all that apply:
Family Picnic
Sjoel & Pool Barbecue
Fall Walk & Lunch
Sinterklaas Dinner & Dance
New Year's Reception
Skating at Rideau Hall
Cross-country Skiing
Tea & Talents
Vroege vogels birdwatching
Group Dinners (e.g. Indonesian, Schnitzel Evening)
Koffie uurtje
Movie Evenings
None
Other (please specify)
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4
. Which of the following events not currently offered by the DCA would you be interested in?
Select all that apply:
Which of the following events not currently offered by the DCA would you be interested in? Select all that apply:
Book/DVD exchange
Queen's Day celebration (Koninginnedag)
World/Euro Cup soccer event
Dutch cooking class
Babysitting exchange
Klaverjassen evening
Potluck
Family movie afternoon
Board game night
Online activities (e.g. discussions, little games, recipe exchange)
Senior companion visits
Other (please specify)
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5
. The DCA has no paid staff. Instead, we rely entirely on volunteers to sit on the board and to organize events.
Would you be willing to volunteer for the DCA in the future, either as a board member or at an event?
The DCA has no paid staff. Instead, we rely entirely on volunteers to sit on the board and to organize events. Would you be willing to volunteer for the DCA in the future, either as a board member or at an event?
Yes
No
If yes, please let us know how you can help:
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6
. Do you speak Dutch?
Do you speak Dutch?
Yes, fluently
A little
No
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7
. Please indicate your age range:
Please indicate your age range:
under 20
21-29
30-39
40-54
55-65
65-80
80+
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8
. Which of the following descriptions apply to your household?
Select all that apply:
Which of the following descriptions apply to your household? Select all that apply:
Single
Married or common-law
Living with children aged 12 and under
Living with children older than 12 years
Retired
Temporary resident
Dutch immigrant (pre-2000)
Recent Dutch immigrant (since 2000)
First-generation Dutch immigrant (Canadian-born child of immigrant(s))
Canadian of Dutch descent (second generation or more)
Canadian interested in Dutch culture
Other (please specify)
9
. To be eligible for the draw, please enter your contact details below. This information will not be shared with third parties. If you wish to remain anonymous, you can skip this question.
The draw will be held on April 19, 2010, at the DCA's Annual General Meeting.
To be eligible for the draw, please enter your contact details below. This information will not be shared with third parties. If you wish to remain anonymous, you can skip this question. The draw will be held on April 19, 2010, at the DCA's Annual General Meeting.
Name:
Address:
City/Town:
Province:
Postal Code:
Email Address:
Phone Number:
Thank you for participating in our survey. Please visit us at www.dutchinottawa.ca for the latest news and information on upcoming events.
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