Meal/ Activities Survey Do you eat breakfast alone or with others? Alone With others Would you prefer if announcements and table numbers were not done at lunch, instead open dining? Yes Maybe No Would you like the noon meal occasionally changed to a supper or breakfast meal? Yes Maybe No What would entice you to eat at the Senior Center? Do you like to play card games? Yes No What is your favorite leisure activity? Would more exercise options interest you? Yes Maybe No What kind of exercise are you interested in? What would you like to have on a breakfast menu? Do you eat breakfast? What time? Yes No Do you eat your largest meal at noon or evening? Noon Evening Both What time of day works best for you to come to the center to join in activities? (Check all that apply) Morning Noon Evening If you come, do you enjoy the dances? Yes No If you come, do you like our Thursday evening Bingo program? Yes No What kinds of music do you enjoy? Do you like to play Bingo? Yes No When you come to the Senior Center, would you like to: (Check all that apply) Play Cards Read Play Bingo Board Games Crafting - Knitting, Quilting Adult Coloring Floral Design Volunteer Use open WIFI for your own gaming/ internet enjoyment Are you you health conscience with the foods you eat? What types of food do you enjoy the most? Yes No If you are visiting for the first time, do you want the announcer to acknowledge you to everyone at lunch? Yes Maybe No What food would you like to see added to the menu? Do you participate in the clinics we provide? (Check all that apply) Glucose Check Blood Pressure Balance Screening Oxygen Checks None Do you participate in our exercise classes? (Check all that apply) Tai Chi Qigong Walking Video Line Dancing FROG (Fitness Reaching Older Generations) Aerobic Exercise None Time's up
