Forward Chicago Survey

We are Forward Chicago, a local, grassroots organization connecting neighbors, local businesses and community organizations. We’re creating a neighborhood where people of all ages are active, engaged, and influential.

Let us know your interests and your opinions on what matters locally, and help us to identify and promote the connections that keep our neighborhood vibrant!

Most importantly, we need your involvement. What role can you play in bettering your community?
Everyone has something to contribute, and a role to play.

If you would like to have a leadership position, then we have those available. If there is an opportunity that we don't have that you would like to undertake, then we can work together to create it!

We’ll highlight survey results in our upcoming newsletter and online at http://www.forwardchicago.org. Your insights will help us to develop new connections and programs.

We look forward to hearing from you, welcoming you to Forward Chicago programs, and seeing you around the neighborhood!

Question Title

* 1. Please tell us who you are:

First Name

Last Name

Question Title

* 2. What do you like to do in your spare time?

Question Title

* 3. Please indicate your level of interest in the various items listed below. If you would be interested in attending or leading a event about the item, then let us know that, too!

	No interest	Moderately interested	Highly interested	Interested, and would attend an event organized around this	Interested, and would lead an event organized around this
Alternative medicine	Alternative medicine No interest	Alternative medicine Moderately interested	Alternative medicine Highly interested	Alternative medicine Interested, and would attend an event organized around this	Alternative medicine Interested, and would lead an event organized around this
Architecture walking tour	Architecture walking tour No interest	Architecture walking tour Moderately interested	Architecture walking tour Highly interested	Architecture walking tour Interested, and would attend an event organized around this	Architecture walking tour Interested, and would lead an event organized around this
Art class	Art class No interest	Art class Moderately interested	Art class Highly interested	Art class Interested, and would attend an event organized around this	Art class Interested, and would lead an event organized around this
Bird watching	Bird watching No interest	Bird watching Moderately interested	Bird watching Highly interested	Bird watching Interested, and would attend an event organized around this	Bird watching Interested, and would lead an event organized around this
Block club membership	Block club membership No interest	Block club membership Moderately interested	Block club membership Highly interested	Block club membership Interested, and would attend an event organized around this	Block club membership Interested, and would lead an event organized around this
Book group	Book group No interest	Book group Moderately interested	Book group Highly interested	Book group Interested, and would attend an event organized around this	Book group Interested, and would lead an event organized around this
Brain fitness	Brain fitness No interest	Brain fitness Moderately interested	Brain fitness Highly interested	Brain fitness Interested, and would attend an event organized around this	Brain fitness Interested, and would lead an event organized around this
Computer class	Computer class No interest	Computer class Moderately interested	Computer class Highly interested	Computer class Interested, and would attend an event organized around this	Computer class Interested, and would lead an event organized around this
Cooking class	Cooking class No interest	Cooking class Moderately interested	Cooking class Highly interested	Cooking class Interested, and would attend an event organized around this	Cooking class Interested, and would lead an event organized around this
Dinner group	Dinner group No interest	Dinner group Moderately interested	Dinner group Highly interested	Dinner group Interested, and would attend an event organized around this	Dinner group Interested, and would lead an event organized around this
Finding a job	Finding a job No interest	Finding a job Moderately interested	Finding a job Highly interested	Finding a job Interested, and would attend an event organized around this	Finding a job Interested, and would lead an event organized around this
Going to a book reading	Going to a book reading No interest	Going to a book reading Moderately interested	Going to a book reading Highly interested	Going to a book reading Interested, and would attend an event organized around this	Going to a book reading Interested, and would lead an event organized around this
Investment group	Investment group No interest	Investment group Moderately interested	Investment group Highly interested	Investment group Interested, and would attend an event organized around this	Investment group Interested, and would lead an event organized around this
LGBT aging	LGBT aging No interest	LGBT aging Moderately interested	LGBT aging Highly interested	LGBT aging Interested, and would attend an event organized around this	LGBT aging Interested, and would lead an event organized around this
Meditation	Meditation No interest	Meditation Moderately interested	Meditation Highly interested	Meditation Interested, and would attend an event organized around this	Meditation Interested, and would lead an event organized around this
Meeting new people	Meeting new people No interest	Meeting new people Moderately interested	Meeting new people Highly interested	Meeting new people Interested, and would attend an event organized around this	Meeting new people Interested, and would lead an event organized around this
Money and budgeting	Money and budgeting No interest	Money and budgeting Moderately interested	Money and budgeting Highly interested	Money and budgeting Interested, and would attend an event organized around this	Money and budgeting Interested, and would lead an event organized around this
Movie and coffee group	Movie and coffee group No interest	Movie and coffee group Moderately interested	Movie and coffee group Highly interested	Movie and coffee group Interested, and would attend an event organized around this	Movie and coffee group Interested, and would lead an event organized around this
Music appreciation	Music appreciation No interest	Music appreciation Moderately interested	Music appreciation Highly interested	Music appreciation Interested, and would attend an event organized around this	Music appreciation Interested, and would lead an event organized around this
Paranormal and reincarnation	Paranormal and reincarnation No interest	Paranormal and reincarnation Moderately interested	Paranormal and reincarnation Highly interested	Paranormal and reincarnation Interested, and would attend an event organized around this	Paranormal and reincarnation Interested, and would lead an event organized around this
Sewing club	Sewing club No interest	Sewing club Moderately interested	Sewing club Highly interested	Sewing club Interested, and would attend an event organized around this	Sewing club Interested, and would lead an event organized around this
Stress management	Stress management No interest	Stress management Moderately interested	Stress management Highly interested	Stress management Interested, and would attend an event organized around this	Stress management Interested, and would lead an event organized around this
Volunteer in our community	Volunteer in our community No interest	Volunteer in our community Moderately interested	Volunteer in our community Highly interested	Volunteer in our community Interested, and would attend an event organized around this	Volunteer in our community Interested, and would lead an event organized around this
Walking group	Walking group No interest	Walking group Moderately interested	Walking group Highly interested	Walking group Interested, and would attend an event organized around this	Walking group Interested, and would lead an event organized around this

Do any other interests come to mind? Please let us know!

Question Title

* 4. Would you come to events organized around your interests?

Yes