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NYSCA Creative Aging Initiative: Post Program Survey
Demographics
1.
County
Westchester
Nassau
Rockland
Saratoga
Schoharie
Essex
Clinton
2.
Program Title
3.
Teaching Artist
4.
Your Name (optional)
5.
Age
<55
55-64
65-74
75-84
85+
6.
Ethnicity:
Hispanic or Latinx
Not Hispanic or Latinx
7.
Race (check all that apply):
American Indian/Alaska Native
Asian
Black or African American
Native Hawaiian/Pacific Islander
White
Other (please specify)
8.
Gender
Male
Female
Non-binary
Prefer to self-describe:
9.
Mobility Issues/Disabilities
I have no mobility issues/disabilities
I have some mobility issues/disabilities
I have many mobility issues/disabilities
Current Progress,
0 of 17 answered