Thank you for answering these questions. Your feedback will help us to improve our programs.

This survey is being distributed in person AND to participants who have provided their emails.

If you have taken this survey in the last 6 months, please do NOT take it again. If you are not sure, please complete it now.

For information about the Senior Center or this survey, contact

Please answer these questions about your participation at a Senior Center in the past 6 months.

* 1. Please provide this information.

* 2. IF you would like to receive information from the Senior Center electronically, please provide your email. OPTIONAL

* 3. Have you taken this survey in the last 6 months?

* 4. What is your gender?

* 5. What is your race/ethnicity? Check all that apply.

* 6. What is your age?

* 7. Which Senior Center do you attend most often?

* 8. How did you hear about the Senior Center? Check all that apply.

* 9. How long have you participated in Center programs?