Pathway Project Survey

We would like to ask you to take a few moments to answer a brief survey. This survey will help inform the creation of a potential new program at Community Connections Inc. We believe that developing friendships is the key to living a happy and rewarding life. To help people develop more friends we are in the process of designing small group activities based on individuals' shared interests that can be both an interesting/fun activity and an opportunity to develop lasting friendships with others who share your interests. Thank you for taking the time to complete this survey!

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* 1. What is your age?

22-30

31-40

41-50

51-59

Over 60

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* 2. What is your gender?

Female

Male

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* 3. What activities do you like to do with others who share your interests?

Go on hikes/walks/be outside

Play video games

Attend community events

Play pool/go bowling

Cook, dine out, learn about other cultures

Create art, draw/animation

Produce videos and/or TV shows

Exercise/workout/weights/swim

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* 4. Would you be interested in getting together with others to do activities?

Yes

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* 5. What is the best time of day for activities?

Morning

Afternoon

Evening

Weekends

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* 6. Would you want to join a group of people doing something of interest to you in order to meet new people?

Yes

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* 7. If an activity is held once per week, how many weeks would you be willing to attend?

4 weeks

6 weeks

8 weeks

I'd keep coming as long as it was fun

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* 8. Would you need transportation to and from activities?

Yes

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* 9. If you and some friends could do any activity, what would you want to do?

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* 10. Can we contact you to discuss more details?

Name

City/Town

Email Address

Phone Number