Let's create a Community Center in Langley! 

* 1. Which of the following amenities describes what you or someone in your household would likely use at a Community Center in Langley? Check all that apply!

* 2. Please rate the likelihood of you or someone in your household choosing to participate in the following categories of programs and activities at local Community Center.

  Definitely Not Not Likely Probably Most Likely Definitely
Adult Programs and Activities
Children and Youth Programs and Activities 
Recreation and Fitness Programs and Activities
Skill Building activities for all ages (art, crafts, technology, language, genealogy, cooking, etc..)
Social Service Programs
Special Population Programs and Activities 

* 3. Which of the following categories best describes you?

* 4. How necessary are the criteria for you and members of your household to be able to participate in activities at a community center?

  Not Important  A Little Important  Important  Very Important  Essential 
Morning Programs
Afternoon Programs
Evening Programs
Weekday Programs
Weekend Programs
Drop In 
No cost 
Low cost
Family Membership price to reduce costs
Food options
Childcare onsite

* 5. Which of the following describes your household?

* 6. Please check the ages categories of people  living in your household:

* 7. Where do you currently reside?

* 8. What is your annual household income?

* 9. How likely are you or a member of your household to participate in activities at a Community Center in Langley if activities, times, and costs meet your needs?

* 10. Please check all programs and activities below that you or a member of your household is likely to participate in at a Community Center.

* 11. Select your top five (5)  primary interests in a Community Center.

* 12. Do you have an interest, talent, or existing group you would like to offer at a community center? Please choose all that apply

* 13. Do any members of your household have a disability as defined by the Americans with Disabilities Act (ADA)?

* 14. If you answered "Yes" to the above question what type of accommodation is needed to serve people with disabilities in your family? (Please check all that apply.)

* 15. What types of programs are needed to serve people with disabilities in your family? (Please check all that apply.)

* 16. Please provide your email address if you would like to receive updates on the development of the Community Center.

* 17. Is there anything else you would like to share?

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