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  2. 2013
  3. December
  4. M
  5. MLV RECREATION SURVEY
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Exit Survey
 
 
Are you male or female?
 
Male
 
Female
 
 
 
What is your age group
 
18-25
 
26-35
 
36-45
 
46-55
 
55+
 
prefer not to disclose
 
 
 
Can you see yourself taking part in Recreation activities?
 
No I prefer to stay in my room
 
If the right programs were available
 
Yes I would like to
 
 
 
Are you interested in fitness activities?
 
yes
 
no
 
 
What recreational activities would you like to see
not interested moderately interested definitley interested
poker
karaoke
more tournaments
basketball
soccer
ball hockey
yoga
strength and conditioning training
circuit training boot camps
Arts and Crafts
 
 
 
Other recreational ideas you would be interested in that were not listed above
   
 
 
Would you like to be part of a support group:
yes no
Alchoholics Anonymous
Narcotics Anonymous
Bible Study
Health and fitness support group
 
 
 
Other support groups not listed above:
   
 
 
 
Would you like to volunteer in hosting these activities?
 
yes
 
no thanks
 
 
If so , can I have your contact information?
First Name : 
Last Name : 
Phone :