City of Maricopa Adaptive Programming

Adaptive Program Participant Survey

We appreciate your feedback regarding potential Adaptive Programming within the City of Maricopa. Thank you for taking the time to complete this brief survey.

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* 1. Please tell us about your family member(s) that would utilize Adaptive Programming.

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* 2. What kind of Adaptive Programs would you like to have in the City?

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* 3. Please select which Program(s) would interest you.

Intro to Cooking

Arts & Crafts

ESports

Basketball

Soccer

T-Ball

Camp COPA

Flag Football

Buddy Bowling

Fitness

Cornhole

Martial Arts

Self-Defense Class

Buddy Softball

Golf

Intro to Self-Care & Chores

Job Training

Swim/Aquatics

Adaptive Storytime

Sensory Experiences (auditory/visual/tactile)

Other (please specify)

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* 4. Please select which Event(s) would interest you.

Easter Hunt

Special Olympics

Winter Party

Valentine's Day

Family Night Out

Parent Information Workshops

Senior Arts

Senior Dance

Other (please specify)

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* 5. What workshop(s) would you be interested in?

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* 6. Would you like to have meeting space for Support Groups?

YES

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* 7. Please provide your name & contact information.

Name

Email Address

Phone Number

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* 8. Would you like us to contact you for follow up questions and updates on Programs?

YES