Pelham Community Centre Programming Survey

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* 1. What area are you from?

Fonthill

Ridgeville

Fenwick

North Pelham

Effingham

Other (please specify)

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* 2. My age is:

12 years or less

13-18 years

18-30 years

30-55 years

55-65 years

65+ years

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* 3. What is the best way to communicate with you about the programs/services that will be offered at the Pelham Community Centre? Check all that apply.

Social Media (Facebook, Twitter, Instagram)

Community Recreation Guide

Posters/Flyers in Community

Town of Pelham Website

Newspaper

Other (please specify)

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* 4. How often a month do you plan on using the programming/services at the Pelham Community Centre?

1-10 visits/month

10-15 visits/month

15-30 visits/month

30+ visits/month

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* 5. Please complete the following with your programming preferences:

	Preschool (0-5)	Children (6-12)	Youth (13-18)	Adult (18+)	Older Adult (65+)	Families
Aerobics	Aerobics Preschool (0-5)	Aerobics Children (6-12)	Aerobics Youth (13-18)	Aerobics Adult (18+)	Aerobics Older Adult (65+)	Aerobics Families
Parent & Baby Fitness	Parent & Baby Fitness Preschool (0-5)	Parent & Baby Fitness Children (6-12)	Parent & Baby Fitness Youth (13-18)	Parent & Baby Fitness Adult (18+)	Parent & Baby Fitness Older Adult (65+)	Parent & Baby Fitness Families
Zumba	Zumba Preschool (0-5)	Zumba Children (6-12)	Zumba Youth (13-18)	Zumba Adult (18+)	Zumba Older Adult (65+)	Zumba Families
Tai Chi	Tai Chi Preschool (0-5)	Tai Chi Children (6-12)	Tai Chi Youth (13-18)	Tai Chi Adult (18+)	Tai Chi Older Adult (65+)	Tai Chi Families
Yoga	Yoga Preschool (0-5)	Yoga Children (6-12)	Yoga Youth (13-18)	Yoga Adult (18+)	Yoga Older Adult (65+)	Yoga Families
Pilates	Pilates Preschool (0-5)	Pilates Children (6-12)	Pilates Youth (13-18)	Pilates Adult (18+)	Pilates Older Adult (65+)	Pilates Families
Chair Fitness	Chair Fitness Preschool (0-5)	Chair Fitness Children (6-12)	Chair Fitness Youth (13-18)	Chair Fitness Adult (18+)	Chair Fitness Older Adult (65+)	Chair Fitness Families
Pickleball	Pickleball Preschool (0-5)	Pickleball Children (6-12)	Pickleball Youth (13-18)	Pickleball Adult (18+)	Pickleball Older Adult (65+)	Pickleball Families
Mat Bowling	Mat Bowling Preschool (0-5)	Mat Bowling Children (6-12)	Mat Bowling Youth (13-18)	Mat Bowling Adult (18+)	Mat Bowling Older Adult (65+)	Mat Bowling Families
Badminton	Badminton Preschool (0-5)	Badminton Children (6-12)	Badminton Youth (13-18)	Badminton Adult (18+)	Badminton Older Adult (65+)	Badminton Families
Ball Hockey	Ball Hockey Preschool (0-5)	Ball Hockey Children (6-12)	Ball Hockey Youth (13-18)	Ball Hockey Adult (18+)	Ball Hockey Older Adult (65+)	Ball Hockey Families
Basketball	Basketball Preschool (0-5)	Basketball Children (6-12)	Basketball Youth (13-18)	Basketball Adult (18+)	Basketball Older Adult (65+)	Basketball Families
Soccer	Soccer Preschool (0-5)	Soccer Children (6-12)	Soccer Youth (13-18)	Soccer Adult (18+)	Soccer Older Adult (65+)	Soccer Families
Volleyball	Volleyball Preschool (0-5)	Volleyball Children (6-12)	Volleyball Youth (13-18)	Volleyball Adult (18+)	Volleyball Older Adult (65+)	Volleyball Families
Creative Writing	Creative Writing Preschool (0-5)	Creative Writing Children (6-12)	Creative Writing Youth (13-18)	Creative Writing Adult (18+)	Creative Writing Older Adult (65+)	Creative Writing Families
Dance (Ballroom, etc.)	Dance (Ballroom, etc.) Preschool (0-5)	Dance (Ballroom, etc.) Children (6-12)	Dance (Ballroom, etc.) Youth (13-18)	Dance (Ballroom, etc.) Adult (18+)	Dance (Ballroom, etc.) Older Adult (65+)	Dance (Ballroom, etc.) Families
Drawing	Drawing Preschool (0-5)	Drawing Children (6-12)	Drawing Youth (13-18)	Drawing Adult (18+)	Drawing Older Adult (65+)	Drawing Families
Music Lessons	Music Lessons Preschool (0-5)	Music Lessons Children (6-12)	Music Lessons Youth (13-18)	Music Lessons Adult (18+)	Music Lessons Older Adult (65+)	Music Lessons Families
Painting	Painting Preschool (0-5)	Painting Children (6-12)	Painting Youth (13-18)	Painting Adult (18+)	Painting Older Adult (65+)	Painting Families
Performing Arts	Performing Arts Preschool (0-5)	Performing Arts Children (6-12)	Performing Arts Youth (13-18)	Performing Arts Adult (18+)	Performing Arts Older Adult (65+)	Performing Arts Families
Quilting	Quilting Preschool (0-5)	Quilting Children (6-12)	Quilting Youth (13-18)	Quilting Adult (18+)	Quilting Older Adult (65+)	Quilting Families
General Crafts	General Crafts Preschool (0-5)	General Crafts Children (6-12)	General Crafts Youth (13-18)	General Crafts Adult (18+)	General Crafts Older Adult (65+)	General Crafts Families
Photography	Photography Preschool (0-5)	Photography Children (6-12)	Photography Youth (13-18)	Photography Adult (18+)	Photography Older Adult (65+)	Photography Families
Computer Use/Skills	Computer Use/Skills Preschool (0-5)	Computer Use/Skills Children (6-12)	Computer Use/Skills Youth (13-18)	Computer Use/Skills Adult (18+)	Computer Use/Skills Older Adult (65+)	Computer Use/Skills Families
Cooking	Cooking Preschool (0-5)	Cooking Children (6-12)	Cooking Youth (13-18)	Cooking Adult (18+)	Cooking Older Adult (65+)	Cooking Families
Life Skills Workshops (ex. Financial Planning)	Life Skills Workshops (ex. Financial Planning) Preschool (0-5)	Life Skills Workshops (ex. Financial Planning) Children (6-12)	Life Skills Workshops (ex. Financial Planning) Youth (13-18)	Life Skills Workshops (ex. Financial Planning) Adult (18+)	Life Skills Workshops (ex. Financial Planning) Older Adult (65+)	Life Skills Workshops (ex. Financial Planning) Families
Card Games	Card Games Preschool (0-5)	Card Games Children (6-12)	Card Games Youth (13-18)	Card Games Adult (18+)	Card Games Older Adult (65+)	Card Games Families
Learn a New Language (please indicate what language under the Other Section)	Learn a New Language (please indicate what language under the Other Section) Preschool (0-5)	Learn a New Language (please indicate what language under the Other Section) Children (6-12)	Learn a New Language (please indicate what language under the Other Section) Youth (13-18)	Learn a New Language (please indicate what language under the Other Section) Adult (18+)	Learn a New Language (please indicate what language under the Other Section) Older Adult (65+)	Learn a New Language (please indicate what language under the Other Section) Families
Parent & Child Programs	Parent & Child Programs Preschool (0-5)	Parent & Child Programs Children (6-12)	Parent & Child Programs Youth (13-18)	Parent & Child Programs Adult (18+)	Parent & Child Programs Older Adult (65+)	Parent & Child Programs Families
Nature Programs	Nature Programs Preschool (0-5)	Nature Programs Children (6-12)	Nature Programs Youth (13-18)	Nature Programs Adult (18+)	Nature Programs Older Adult (65+)	Nature Programs Families

Other (please specify)

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* 6. Please indicate if your preference would be a weekend or weekday program and the timing of the program:

Weekday - Morning

Weekday -Afternoon

Weekday - Evening

Weekend - Morning

Weekend - Afternoon

Weekend - Evening

Pelham Community Centre Programming Survey

Question Title

* 1. What area are you from?

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* 2. My age is:

Question Title

* 3. What is the best way to communicate with you about the programs/services that will be offered at the Pelham Community Centre? Check all that apply.

Question Title

* 4. How often a month do you plan on using the programming/services at the Pelham Community Centre?

Question Title

* 5. Please complete the following with your programming preferences:

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* 6. Please indicate if your preference would be a weekend or weekday program and the timing of the program:

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* 7. Additional comments/suggestions for programming ideas for the Pelham Community Centre:

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* 8. If you wish to receive updates about Programming at the Pelham Community Centre, please leave your email address below: