Senior Fitness Around Town Program Question Title * 1. Would you be interested in participating in a six-week Senior Fitness Around Town Program? Yes No OK Question Title * 2. Please select your age range. 55-60 61-70 71 and over OK Question Title * 3. Participants would be required to participate in physical activity once a week. What day(s) of the week would be preferred? Monday Tuesday Wednesday Thursday Friday OK Question Title * 4. What time of the day would be preferred? Morning sometime between 9:00 am – 12:00 pm Afternoon sometime between 1:00 – 4:00 pm Evening sometime between 6:00 – 8:00 pm OK Question Title * 5. What type(s) of weekly activities would you be most interested in? Disc Golf Fitness Programming Yoga Zumba Pickleball Taekwon Do Aquafit Tennis Urban Poling Ice Skating Tai Chi Other (please specify) OK Question Title * 6. Please indicate your current level of physical activity? Light Moderate Advanced OK Question Title * 7. On average, how many hours a day do you engage in physical activity? Minimal physical activity 1 hour per day 1 -2 hours per day More than 2 hours per day OK Question Title * 8. What are some of the type(s) of physical activities that you have engaged in the last seven days? OK Question Title * 9. How often do you exercise specifically to increase muscle strength and endurance, such as using weights or pushups, etc.? Rarely 1 - 2 times per week 3 - 5 times per week More than 5 times per week OK Question Title * 10. During the past 7 days, did you engage in any of the following activities? Home repairs like painting, wallpapering, electrical work, etc. Lawn work or yard care, including snow or leaf removal, wood chopping, etc. Outdoor gardening Caring for another person, such dependent spouse, or another adult OK Question Title * 11. The weekly activities would be primarily located within Tecumseh, such as Tecumseh Arena, Golden Age Club and Lakewood Park. Would you require access to transportation? Yes No OK Question Title * 12. Additional comments / feedback OK DONE