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* 1. Do you (or any member/s of your household) currently participate in programs or make use of any amenities at Dublin Park/Recreation Center or Madison Senior Center?

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* 2. What kinds of activities for youth under 18 do you think should be accommodated at the new Community Center/Park? Choose all that apply.

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* 3. What kinds of scheduled classes for adults would interest you or another member of your household? Choose all that apply.

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* 4. What kinds of scheduled recreation/socialization activities for adults would interest you or another member of your household? Choose all that apply.

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* 5. If you are over age 50, would you prefer to attend these classes and/or activities with others who are also over 50?

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* 6. What kinds of indoor amenities for scheduled and/or drop-in use by adults would interest you? Choose all that apply.

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* 7. What kinds of services do you think should be accommodated at the new Community Center? Choose all that apply.

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* 8. What kinds of outdoor amenities do you think should be provided for scheduled and drop-in use?

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* 9. What time of day/week would you like to attend functions or drop in to use amenities at the Community Center? Choose all that apply

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* 10. What age group/s do you (and other members of your household if applicable) belong to? Select all that apply

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