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* 1. Please indicate the types of Computer / Technology programs you would like to see offered. Check all that apply.

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* 2. Please indicate the types of Foreign Language programs you would like to see offered. Check all that apply.

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* 3. Please indicate the types of Educational programs you would like to see offered. Check all that apply.

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* 4. Please indicate the types of Exercise Classes you would like to see offered. Check all that apply.

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* 5. Please indicate types of Dance Classes you would like to see offered. Check all that apply.

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* 6. Please indicate the types of Health Classes you would like to see offered. Check all that apply.

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* 7. Please indicate the types of Art Classes you would like to see offered. Check all that apply.

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* 8. Please indicate the types of Social Events, Clubs & Recreation Programs you would like to see offered. Check all that apply.

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* 9. Please indicate the types of Support Services you would like to see offered. Check all that apply.

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* 10. Please indicate the types of games you would like to see offered. Check all that apply.

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* 11. Please indicate the types of Community- Out & About programs you would like to see offered. Check all that apply.

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* 12. Please indicate the types of Trips you would like to see offered. Check all that apply.

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* 13. General Comments

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