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Canton Leisure Services is asking for your input as it continues working toward creating and providing desirable programs, services and events for our neighbors ages 55+. Area residents are encouraged to share their opinions, concerns and insights by taking this Canton Community Needs Assessment survey. Results from this survey will help to shape future offerings from Canton Club 55+. The survey can be accessed by visiting www.summitonthepark.org or by visiting the Canton Club 55+, in-person at the Summit on the Park, any time from November 1-30, 2022. Individuals who complete the survey by the deadline and submit their contact information, will be entered for a chance to win a 3-month Summit on the Park membership. Winner will be announced by December 5.

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* 1. Where do you live?

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* 2. What are the ages of the residents in your household?

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* 3. How has the COVID-19 Pandemic impacted your decision to participate in Canton Leisure Services programs? (please explain)

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* 4. If the following outdoor programs were offered at Club 55+, which would you likely participate in? (check all that apply)

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* 5. If the following physical activity programs were offered at Club 55+, which types of programs would you likely participate in? (please specify)

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* 6. If the following creative arts programs were offered at Club 55+, which would you likely participate in? (check all that apply)

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* 7. If the following alternative programs were offered at Club 55+, which would you likely participate in? (check all that apply)

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* 8. If the following support groups were offered at Club 55+, which would you likely participate in? (check all that apply)

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* 9. I would like assistance with: (check all that apply)

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* 10. If the following programs/events were offered at Club 55+, which would you likely participate in? (check all that apply)

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* 11. When seeking out leisure activities, how do you prefer to spend your time:

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* 12. What time of day would you like to see programs, events and services offered at Club 55+? (check all that apply)

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* 13. Are there any other programs, events or services that you would like to see offered through Canton Club 55+?

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* 14. What is the most important thing that Canton can offer to support individuals 55+?

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* 15. If you are interested in a Canton Club 55+ Specialist contacting
you about available programs and resources, please include your contact
information (Name, Phone Number, Email)
(if no interest, please skip)

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* 16. Is there anything else you would like to add related to Canton Club 55+?

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* 17. Thank you for participating in our 2022 Club 55+ Survey. As a token of
our appreciation we will be conducting a drawing for an individual 3-Month Summit on the Park Membership. If you would like to enter the drawing, please include your contact information:

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