As a member of the Active Adult/Senior Programs, please share your feedback with us. Your comments and suggestions will be used to improve our programs to better meet your needs.

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* 1. In what programs do you participate?

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* 2. Think about your life since you started attending the programs at the Center.
Please select the option that best matches your response for each statement.

Because I go to the Senior Center I....

  Most of the Time Sometimes Almost Never Not Applicable
Do more volunteer work
See friends more often/make new friends
Take better care of my health
Have more energy
Feel happier or more satisfied with my life
Have something to look forward to each day
Know where to ask if I need a service such as a ride to the doctor or an aide
Feel more able to stay independent
Feel that the senior center has had a positive effect on my life
Learn new things
Have learned about services and benefits
Am more physically active
Would recommend the senior center to a friend or family member

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* 3. If there were one thing we could improve upon in regards to our programs and/or operations, what would that be?

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* 4. How long have you participated in our programs ?

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* 5. In general, how often do you come to the Center?

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* 6. Please rate your satisfaction level with the following:

  Very Satisfied Satisfied Dissatisfied Very Dissatisfied Not Applicable
Membership registration process
Membership fee
Overall satisfaction with membership
Diversity of programs offered
Ease of access to programs
Programs in which you participate
Program registration process
Program fee
Program instructors
Attractiveness of the Center
Lighting inside the Center
Lighting outside the Center
Cleanliness of the Center
Temperature inside the Center
Safety of the Center
Service provided by Senior Services Supervisor
Service provided by Senior Services Program Coordinator
Service provided by Desk Volunteers

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* 7. How did you find out about the programs?

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* 8. What is your age?

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* 9. What is your gender?

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* 10. What is your race?

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* 11. If you want us to respond, please include your contact info:

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