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* 1. What is your age?

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* 2. Are you fully vaccinated against COVID-19?

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* 3. Have you participated in our Wednesday Meal pick-up?

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* 4. Do you feel comfortable returning to in-person programming at Bellingham Senior Activity Center (BSAC)? 

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* 5. Under what circumstance(s) are you comfortable returning to BSAC? Check all that apply

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* 6. What is your primary reason for coming back to the Center

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* 7. When do you see yourself coming into the BSAC building for programs including the Senior Community Meal?

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* 8. Rank your interest in the following, with 1 being your top choice:

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* 9. Do you have the ability to make an online reservation for lunch and/or classes and activities through a computer or smartphone? (We will provide instructions)

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* 10. Did you participate in our Senior Community Meals prior to the COVID-19 pandemic?

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* 11. If you choose to eat during the daily (M-F) Senior Community Meal program, how many days a week do you see yourself participating?

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* 12. What would you like to see offered during the Senior Community Meals? Select all that apply.

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* 13. If you have never participated in the Senior Community Meal, what would encourage you to try it?

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* 14. Do you have any special dietary requirements? (low-salt, gluten-free, vegetarian, soft...)

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* 15. Do you have any food allergies or intolerances not listed above?

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* 16. Is there anything else you would like us to know?

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