Question Title

* 1. Which Senior Center do you attend?

Question Title

* 2. Age

Question Title

* 3. Gender

Question Title

* 4. Race

Question Title

* 5. Household Composition. Do you live...

Question Title

* 6. How did you learn about our services at the center?

Question Title

* 7. How long have you been receiving services provided by the Senior Center?

Question Title

* 8. On average, how many days per week do you attend activities at the senior center?

Question Title

* 9. If you are receiving services remotely (printed materials, crafts, etc.), do you feel they help you stay informed and connected to the center?

Question Title

* 10. Do you participate in senior center activities via virtual or teleconferencing platforms? 

Question Title

* 11. Do you find our staff courteous and professional?

Question Title

* 12. Are you aware that you can make a donation toward our program if you wish?

Question Title

* 13. What other activities would you be interested in that are not currently offered at your senior center?

Question Title

* 14. If you receive Friendly Visiting, do you feel that it reduces your social isolation?

Question Title

* 15. Overall, how satisfied are you with the programs and services offered by the senior center?

Question Title

* 16. Do you eat meals provided by the center? If you check No skip questions 16 & 17.

Question Title

* 17. Are you satisfied with the....

  Always Sometimes Never
Food Taste
Food Smell
Food Appearance
Food Variety
Food Temperature
Food Service Time

Question Title

* 18. Write your comments on the Meal Service here:

T