Word of Life Client Survey (English) Question Title * 1. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older OK Question Title * 2. What is your gender? Female Male Other OK Question Title * 3. How many children are in your family? 1 2 3 4 5 6 7 or more OK Question Title * 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) Less than a high school diploma High school degree or equivalent (e.g. GED) Some college, no degree Associate degree (e.g. AA, AS) Master’s degree (e.g. MA, MS, Med) Professional degree (e.g. MD, DDS, DVM) Doctorate (e.g. PhD, EdD) OK Question Title * 5. What is your current employment status? Employed full time Employed part time Unemployed and currently looking for work Unemployed and not currently looking for work Student Retired Homemaker Self-employed OK Question Title * 6. How long have you been coming to Word of Life for their services? This is my first time Less than six months Six months to a year 1-2 years 3 or more years OK Question Title * 7. How did you learn about Word of Life? Friends, family members or coworkers Online search Word of Life website Social worker or other social service provider Hunger Hotline Other (please specify) OK Question Title * 8. Which Word of Life programs do you attend the most? Feed the community Senior and veterans wellness Nutrition workshops Exercise classes Community breakfasts OK Question Title * 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 Feed the community Not at all well Feed the community Not so well Feed the community Somewhat well Feed the community Very well Feed the community Extremely well Feed the community Don't know this program Senior and veterans wellness Senior and veterans wellness Not at all well Senior and veterans wellness Not so well Senior and veterans wellness Somewhat well Senior and veterans wellness Very well Senior and veterans wellness Extremely well Senior and veterans wellness Don't know this program Nutrition workshop Nutrition workshop Not at all well Nutrition workshop Not so well Nutrition workshop Somewhat well Nutrition workshop Very well Nutrition workshop Extremely well Nutrition workshop Don't know this program Exercise classes Exercise classes Not at all well Exercise classes Not so well Exercise classes Somewhat well Exercise classes Very well Exercise classes Extremely well Exercise classes Don't know this program Community breakfasts Community breakfasts Not at all well Community breakfasts Not so well Community breakfasts Somewhat well Community breakfasts Very well Community breakfasts Extremely well Community breakfasts Don't know this program OK Question Title * 10. What could we do to make your experience better at Word of Life? OK DONE