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* 1. Are you a current member of the Kyle Area Senior Zone?

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* 2. Are you a current member of another Senior or Activity Center?

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* 3. If Yes, where?

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* 4. What is your Age Group?

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* 5. What is your Martial Status?

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* 6. Where do you reside?

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* 7. What is your mode of transportation?

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* 8. How far would you be willing to travel to a new facility?

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* 9. Would you participate in the KASZ Lunch Program (meals under $5) if offered more than once a week?

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* 10. What type of activities would you participate in if they were available?

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* 11. What are your skill-sets/background?

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* 12. Which Social Media Platforms do you use?

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* 13. Would you be willing to participate in a KASZ New Facility Focus Group (virtual town hall meetings and/or discussion groups)?

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* 14. If Yes, please provide Contact Information.

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* 15. Comments:

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