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HOBBIES, ACTIVITIES AND INTERESTS

Main Line Rehabilitation Associates continues to investigate social/recreational resources to assist the people we serve with achieving their individual goals.In an effort to further expand consumer centered services, including group activities, we are investigating activities you enjoy. This includes activities you participate in or would like to participate in and would like to share with others.

Please complete the following survey that lists different activities. Your MLRA staff will assist you if you like.We look forward to receiving your response so we can create additional opportunities for social activities.

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* 1. What is your name?

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* 2. Do you have any hobbies? (Please check any activities that apply)

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* 3. How do you spend your free time?

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* 4. Special talents or skills that I have that I would like to share with others:

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* 5. What time of day would you be most available?

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* 6. What day(s) of the week would you be most available?

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