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?

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* 2. What is your gender?

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

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

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

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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?

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

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

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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?

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