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* 1. Please select your age range:

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* 2.  Where do you live?

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* 3. What day(s) of the week are preferred for program planning?

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* 4. How many times per week would you be interested in participating in an activity/event?

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* 5. What time of the day would be preferred?

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* 6. When participating in an event/activity, what approximate activity length would you prefer?

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* 7. What sources of information do you use to learn about senior services and programs offered in Tecumseh?

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* 8. As an older adult/senior, do you find the activities/programs offered in Tecumseh meet your needs?

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* 9. Is transportation a barrier to your happiness (life experiences, health, access to programming)?

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* 10. If you experience loneliness, is it affected by any of the following (check all that apply):

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* 11. What area(s) of concern do you feel currently affect seniors living in Tecumseh and surrounding municipalities?

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* 12. What type(s) of physical activities would you be most interested in?

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* 13. What type(s) of other programming would you be most interested in?

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* 14. Please select which education topic(s) you would be interested in learning about:

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* 15. If there were costs associated to participating in a program/class, would you consider participating?

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* 16. Additional comments / feedback

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