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Exit Survey
 
 
What is your name?
   
 
 
How old are you? (Please circle one)
 
55-60
 
61-65
 
66-70
 
71-75
 
 
 
Are you male or female?
 
Male
 
Female
 
 
 
Are you seeking a casual or serious relationship?
 
Casual
 
Serious
 
 
 
Which area of the city are you from?
 
West End
 
Yaletown
 
Downtown
 
North Vancouver
 
West Vancouver
 
East Vancouver
 
Burnaby/Surrey/Richmond (please circle one)
 
 
 
Do you rent or own the place you live?
 
Own
 
Rent
 
Other
 
 
 
Are you involved in the community?
 
Yes
 
No
 
 
 
What are some of your interests? Check all that apply.
 
What are some of your interests? Check all that apply. Running
 
Biking
 
Reading
 
Attending Fundraisers
 
Attending Community Events
 
Sports
 
Arts and Crafts
 
Family
 
Church
 
Other
 
 
 
Do you own a pet?
 
Yes
 
No
 
 
 
Tell us a bit about yourself (eg. intersts, travel, family, future plans)