Exit Activities Survey At Age Concern North Norfolk, your preferences and needs are our priority. We want to hear from you about what you enjoy and what activities you’d like to get involved in! Please take some time to fill in this survey so we can make the day centre as enjoyable as possible for you. Question Title * 1. Your name: Question Title * 2. What day/s do you visit the centre? Tuesday Wednesday Thursday Friday Question Title * 3. Any special considerations? e.g. injuries/disabilities Question Title * 4. What are your hobbies/activities you do at home? Question Title * 5. What activities would you like to do at the day centre*? (Tick all of the ones you’d like to do)*some activities may be limited during to government guidelines and social distancing rules Quiz (e.g. general knowledge/music/sports) Group reading/book club Bingo Group singing/choir Arts and crafts (e.g. painting/knitting/scrapbooking) Exercise classes (e.g. sit-down zumba/dancercise) Reminiscing (e.g. creating a memory box) Group trips (e.g. coastal towns/beaches/group walks/cinema) Word games (e.g. hangman/catchphrase) Flower arranging Board games, cards and puzzles Gardening Seated yoga/meditation Baking/cooking classes Hand massages Nails and beauty Any other activities you’d like: Question Title * 6. Would you like to be involved in a inter-generational project, where you would get to contact and do activities with a group of younger people? Yes No Thank you for completing this survey, and we look forward to seeing you for activities/events we host for you this year! Stay safe and best wishes! Done