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* 1. Have you or your family member participated in Community Living London's Leisure Nights Program?

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* 2. If you were a participant, why did you stop attending the Leisure Nights program?

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* 3. What program activities did you/your family member enjoy? Check all that apply.

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* 6. What would you be willing  to pay for a program that provides social and recreational opportunites, community participation and qualified support staff at a 1 - 2  support ratio.

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* 7. When would you/your family member be available to attend? (check all that apply)

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* 9. What activities would be important to you/your family member?

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* 10. Do you have any other comments/suggestions.

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