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* 1. Contact Information

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* 2. How often do you go to the Senior Center?

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* 3. If you have not been, or do not attend regularly, please tell us why:

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* 4. If you do go to the Center, please tell us why:

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* 5. How would you rate the activities and services that are offered?

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* 6. Do you have any suggestions for activities or classes that would benefit you?

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* 7. How long have you been a member of the Kirtland Senior Center?

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* 8. Choose any preferred methods of communication regarding upcoming neews and events:

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* 9. Do you encourage others to come to the Center? Why or why not?

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* 10. In two sentences or less, describe your experience with the Senior Center 

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* 11. Do you have any other concerns, suggestions, or questions?

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