Thank you for for taking part in our survey.

Community of Hearts is currently taking feedback from participants and their support/caregivers for new programming at Community of Hearts. Your feedback will help us decide on our new Day Program subjects as well as our Evening Programs subjects for the future.

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* 1. Please check off ALL programs you believe would be good programs to run in our Day Program:

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* 2. Please check off ALL programs you believe would be good subjects to run as Evening Programs:

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* 3. Anything else to share including program ideas, questions or concerns.

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* 4. Your name and contact information. Please note you can also not fill in this box and remain anonymous.

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