* 1. How interested are you in participating in a Zen Center program on the practice of aging?

* 2. What is your age?

* 3. What would you like the format of the group to be?

* 4. What would you like meetings to include?

* 5. What topics would you find most interesting to explore?

* 6. How often would you like the group to meet?

* 7. What time of day is best for you?

* 8. What days of the week are best for you?

* 9. Do you have any other comments for us?

* 10. How can we reach you by email?

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