Smith Senior Center 2019 Annual Survey

Demographic Information

Question Title

* 1. Where do you live?

Within Greensboro city limits

In Guilford County, but outside of Greensboro city limits

In a county other than Guilford County

Question Title

* 2. What is your gender?

Female

Male

Other

Question Title

* 3. What is your age range?

Under 55

55-64

65-74

75-84

85-94

95+

Question Title

* 4. Which race/ethnicity best describes you? (Please choose only one.)

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic American

White / Caucasian

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* 5. How often do you visit Smith Senior Center?

Daily

2 to 3 times per week

Once a week

A few times a month

A few times a year

Only special events

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* 6. What are the reasons you visit Smith Senior Center? (Select all that apply.)

To avoid loneliness

To exercise

To learn new things

To socialize

To volunteer

For health screenings

For information or referrals

For special events

Other (please specify):

Question Title

* 7. Which form of transportation do you use to visit the senior center?

I drive myself

I ride with someone

I walk

I ride a bike

I ride a GTA bus

I ride a SCAT bus

Other (please specify):