This survey has been created by the Mass Senior Action Council Metro North Chapter to get feedback from the Malden citizens about the new senior center. Mass Senior Action will use this information to ensure the senior community has input on the plans for the new center. Please fill out the survey and mail it in the return envelope provided or give it to one of the Mass Senior Action Chapter members by December 6, 2007.
1 How often to you visit the current senior center?  1 day a week 2 days a week   3 or more days a week
2. How do you get to the current senior center?  Your own car      bus/train     senior center ride       walk
3. Which activities do you participate?               Free Movies     Computer          Bingo           Lunch
4. What activities would you like to see offered at the new Malden Senior Center? (Circle all that applies)
  Craft projects/classes  computer classes table games/recreational games Current Events       
Cooking/Housekeeping classes  Media/Entertainment Equipment and Training Gym/Exercise Equipment
  Yoga/Light Exercise  Counseling Service Senior Job Training  Dance/Dance instruction
List any other activities/services that you would like to see at the senior center.
5. What services do you use now? ______________________________________________________________
6. Do you know where the new senior center will be located?   Yes  No
7. Will you use the new senior center?      Yes  No
8. Will Malden need better transportation to the new center?   Yes         No
9. Do you use the facilities at the Malden YMCA?    Yes  No
10. If yes, how often to you visit the YMCA?  1 time a week  2 times a week  3 or more times a week
Do you have any more comments about a new Malden Senior Center?
Print Your Name To Be Entered Into the Raffle
Name:_____________________________                  Age: ______________________
                Address: ________________________________________________________________
                               _______________________________________________________________
Would like to know more information about the efforts for a new senior facility in Malden?  Yes            No
Would you like to receive information about Mass Senior Action Council? 
    Yes, my phone number is __________________________
Thursday, November 1, 2007
Subscribe to:
Post Comments (Atom)
 
 

No comments:
Post a Comment