* For each activity listed below please indicate whether you and/or anyone in your family would have interest in the activity. Then circle the appropriate number to indicate if you and/or anyone in your family have participated in the activity in the past 12 months.

  Not Interested Interested Participated
Activities for the disabled
Adventure activities
Aquatics
Environmental
Extreme sports
Family fitness activities
Gardening
Indoor fitness
Outdoor fitness
Outdoor sports
Special events
Sports and athletics
Wellness and self help

T