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KASZ Future Facility Requirements Survey
1.
Are you a current member of the Kyle Area Senior Zone?
Yes
No
2.
Are you a current member of another Senior or Activity Center?
Yes
No
3.
If Yes, where?
4.
What is your Age Group?
50 - 59
60 - 69
70 - 79
80 - 89
Over 90
5.
What is your Martial Status?
Single
Married
Divorced
Widowed
6.
Where do you reside?
Kyle
Buda
San Marcos
Creedmoor
Wimberley
Driftwood
Niederwald
Other (please specify)
7.
What is your mode of transportation?
Drive
Carpool
Walk
Drop-off
Other (please specify)
8.
How far would you be willing to travel to a new facility?
Under 3 Miles
3 - 5 Miles
6 - 10 Miles
Over 10 Miles
9.
Would you participate in the KASZ Lunch Program (meals under $5) if offered more than once a week?
Yes
No
10.
What type of activities would you participate in if they were available?
Arts/Crafts
Billiards
Cards/Games
Dance Lessons
Live Music
Fitness Classes
Health/Nutrition
Cooking
Computer Classes
Educational Information
Travel
Virtual Interaction
Other (please specify)
11.
What are your skill-sets/background?
Accounting/Finance
Office/Managerial
Consultant/Project Management
Event Planner/Scheduler
Architectural/Construction
Nursing/Medical Assistant
Fitness Coach/Life Coach
Trainer/Motivational Speaker
Cooking/Chef/Nutritionist
Arts (Musical, Entertainer, Community Theater)
Entrepreneur/Philanthropist
Other (please specify)
12.
Which Social Media Platforms do you use?
Facebook
Instagram
YouTube
Zoom (Virtual Meetings)
Not on Social Media
Other (please specify)
13.
Would you be willing to participate in a KASZ New Facility Focus Group (virtual town hall meetings and/or discussion groups)?
Yes
No
14.
If Yes, please provide Contact Information.
Name
Email Address
Phone Number
15.
Comments:
Current Progress,
0 of 15 answered
