KASZ Future Facility Requirements Survey Question Title * 1. Are you a current member of the Kyle Area Senior Zone? Yes No OK Question Title * 2. Are you a current member of another Senior or Activity Center? Yes No OK Question Title * 3. If Yes, where? OK Question Title * 4. What is your Age Group? 50 - 59 60 - 69 70 - 79 80 - 89 Over 90 OK Question Title * 5. What is your Martial Status? Single Married Divorced Widowed OK Question Title * 6. Where do you reside? Kyle Buda San Marcos Creedmoor Wimberley Driftwood Niederwald Other (please specify) OK Question Title * 7. What is your mode of transportation? Drive Carpool Walk Drop-off Other (please specify) OK Question Title * 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 OK Question Title * 9. Would you participate in the KASZ Lunch Program (meals under $5) if offered more than once a week? Yes No OK Question Title * 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) OK Question Title * 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) OK Question Title * 12. Which Social Media Platforms do you use? Facebook Instagram YouTube Zoom (Virtual Meetings) Not on Social Media Other (please specify) OK Question Title * 13. Would you be willing to participate in a KASZ New Facility Focus Group (virtual town hall meetings and/or discussion groups)? Yes No OK Question Title * 14. If Yes, please provide Contact Information. Name Email Address Phone Number OK Question Title * 15. Comments: OK DONE