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* 1. What is your age?

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* 2. What township village do you live in?

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* 3. Do you have a computer at home?

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* 4. Do you use the computer?

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* 5. In what ways do you use your computer (Check all that apply)

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* 6. Do you use social media? (Check all that apply)

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* 7. Where do you get local timely information and news

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* 8. Would you come to the Township Multipurpose Senior Center for FREE senior activities and programs?

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* 9. If No, please tell us why not.

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* 10. What activities would you like to see? (Please check all that apply)

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* 11. Please list 3 exercise programs you would like to see in order of preference

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* 12. Please list 3 recreational activities you would like to see in order of preference.

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* 13. Please list 3 seminars or classes you would like to see in order of preference.

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* 14. Please list possible meetings you would like to see in this location in order of preference.

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* 15. Do you have any special talents, skills or hobbies that you would like to share or see in the new building?

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* 16. Would you like to volunteer in some capacity at the new multipurpose senior center?

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* 17. Would you be interested in interviewing for a volunteer lead position for programs and activities in the new center?

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* 18. Would you like to tend the raised-bed vegetable gardens in the Spring/Summer of 2021 to be used as donations for the Food Pantry?

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* 19. Would you like to volunteer/support the Meals on Wheels Program from the township location?

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* 20. Would you like to support Fish Food Pantry in some way?

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* 21. Program Time of Day (Check all that apply)

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* 22. Do you prefer activities on weekdays or weekends?

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* 23. Does your work prevent you from attending on week days?

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