Thank you for taking this brief survey and sharing your views and perspectives on the Stamford Senior Center and senior centers overall.   All  responses are completely anonymous.   You can chooses not to answer any specific questions you are not comfortable with. We appreciate you taking the time to complete the survey. Your input is very important to us.

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* 1. Do you attend The Stamford Senior Center (SSC)?

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* 2. If you answered "YES", please estimate how often you attend the Stamford  Senior Center

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* 3. How convenient is The Stamford Senior Center to attend?

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* 4. If you attend the SSC how easy is it for you to find parking?

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* 5. If you feel the SSC is not convenient please tell us why (check all that apply)

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* 6. Please check off any other Senior Centers you attend

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* 7. If you checked off other centers above, please tell us why you attend those centers over the Stamford Senior Center

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* 8. Are you fluent in any languages other than English?

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* 9. If you answered "YES" to the question, please specify which languages:__________________________

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* 10. Do you have any condition, disability or circumstance that makes it difficult for you to participate in a senior center?

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* 11. If  you answered "YES", please describe:_________________________________________________

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* 12. Do you attend any of these other venues or programs?

The following table is aimed at both PARTICIPANTS AND NON PARTICIPANTS of The Stamford Senior Center.  If you are a senior center participant, we would like to know about programs and activities that you currently attend in a senior center or would attend if it was    offered.  If  you DO NOT attend the Stamford Senior Center, please select the activities that might interest you in the following table.

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* 13. Which programs do you attend or have interest in?

  Attend Often Attend sometimes Attend Rarely No Interest Would attend if available
Art
Dancing
Knitting/Crocheting/ Sewing
Bingo
Maj Jong
Billiards
Table Tennis
Pickle Ball
Other card games
Movies
Creative Writing
Foreign Language Classes
Gardening
Cultural Events
Trips
Book Club
Poetry Club
Parties
Current Events
Programs for Visually Impaired Seniors
Programs for Hearing Impaired Seniors
Health Screenings
Evidence Based Health Programs
Blood Pressure Screenings
Alzheimer's Programs
Nutrition Education
Health Education Seminars
Health Fairs
Programs with local Medical Providers
Weight Watchers
Cognitive Strengthening
Exercise Classes
Massage Therapy
Personal Training
Swimming
Transportation
Computer Classes
Support Groups
Telephone Reassurance
ESL/Citizenship Classes
Volunteer Opportunities

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* 14. If you do not participate in any activities at The Stamford Senior Center, please tell us why (check all that apply):

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* 15. If you could wave a magic wand and change one thing about the SSC what would it be?

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* 16. In which neighborhood do you live?

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* 17. Please indicate which gender you identify with

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* 18. In what age group do you belong?  

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* 19. Which race/ethnicity best describes you? (Please choose only one.)

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* 20. Which category best describes your current status:

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* 21. Please share any other comments you have below:

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