Caroline Memorial Community Center
Youth Program Needs Assessment Survey

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* 1. What is your grade level?

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* 2. What is your gender?

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* 3. Please select each fitness class you would participate in at the YMCA's Caroline Memorial Community Center.

Martial Arts

Zumba

Yoga

None

Other (please specify)

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* 4. Which youth sports skills activities are you interested in?

Soccer Skills

Basketball Skills

Basketball Clinic

None

Other (please specify)

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* 5. Are you interested in participating in a spring break or summer camp at the YMCA's Caroline Memorial Community Center?

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* 6. Do you need assistance with homework?