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Exit Survey
 
 
We at the Crawford County Council on Aging would like your input on our Activity Programs. These programs are to help increase the quality of life for the Seniors of Crawford County.Your participation in this study is completely voluntary and confidential. It is very important for us to learn your opinions and ideas so we can better serve you. Thank you very much for your time and support.
 
 
How often do you participate in activities at the Crawford County Council on Aging?
 
everyday
 
weekly
 
monthly
 
a few times a year
 
never

 
 
Do you feel welcome at the Crawford County Council on Aging?
 
Yes
 
No
 
 
 
If the answer to the previous question was no, please let us know below what we can do to make you feel more welcome.
   
 
 
Please check the box next to the activities that you would be interested in attending or have attended here.
 
Games (Cards, Bingo,Board Games, Dominoes,etc.)
 
Exercise (Chair Yoga, Tai Chi, Aerobics Group,etc.)
 
Arts and Crafts ( Knitting, Wreaths, Woodworking, Painting, etc.)
 
Day Trips ( Out to lunch, Tours, etc.)
 
Educational Programs (Health and Wellness, Cooking Class, Genealogy, Safety, etc.)
 
Parties/ Special Events
 
Entertainment (Movies, Live Music)
 
Gardening/Horticulture
 
Volunteering

 
 
Of the above listed activity categories, please write the activities that you would be interested in attending in the future in the space provided below. Please be specific. Example- Bridge, Zumba, etc.
   
 
 
 
What are some activities that you would like the Crawford County Council on Aging to provide?
   
 
 
Do you have any suggestions to make the Crawford County Council on Aging's Activity Program better? If you do not come to activities here, is there something the Crawford County Council on Aging could do to make you want to attend?
   
 
 
What would be a convienent time for activities to be scheduled that would enable you to attend?
 
Morning
 
Mid Day
 
Afternoon
 
Evening

 
 
How satisfied are you with the recent activities provided by the Crawford County Council on Aging?
Extremely Unsatisfied
Unsatisfied
Neutral
Satisfied
Extremely Satisfied
 
Thank you for your participation. We look forward to your responses and using them to help shape our Activity Program.