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* 1. What is your age?

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* 2. What is your gender?

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* 3. How many children are in your family?

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* 4. What is the highest degree or level of school you have completed? (If you’re currently enrolled in school, please indicate the highest degree you received)

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* 5. What is your current employment status?

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* 6. How long have you been coming to Word of Life for their services?

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* 7. How did you learn about Word of Life?

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* 8. Which Word of Life programs do you attend the most?

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* 9. How well do the following programs meet your needs? (Rate all programs)

  Not at all well Not so well Somewhat well Very well Extremely well Don't know this program
Feed the community
Senior and veterans wellness
Nutrition workshop
Exercise classes
Community breakfasts

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* 10. What could we do to make your experience better at Word of Life?

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