Powhatan County would like your input to help determine service priorities for our residents that promote ACTIVE AGING for those ages 55 and older, or who will be turning 55 in the next 15 years. This survey will take about 4 minutes to complete. We greatly appreciate your time!

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* 1. Please select the appropriate category that represents your age.

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* 2. How many years have you lived in Powhatan County?

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* 3. Gender: How do you identify?

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* 4. Which category best describes your current status?

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* 5. Do you consider yourself an active person?

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* 6. What is the best time of day for programs or services that promote Active Aging to be offered to you and/or your family? Select all that apply

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* 7. Do you need assistance with walking?

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* 8. How often do you participate in Recreation Programs in Powhatan County?

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* 9. What local programs/ organizations do you currently participate in? Select all that apply.

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* 10. What type of Arts Programs are you interested in? Select all that apply.

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* 11. What type of Enrichment programs are you interested in? Select all that apply.

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* 12. What Type of Health & Wellness Programs are you interested in? Select all that apply.

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* 13. What type of Athletic Programs are you interested in? Select all that apply.

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* 14. What type of Nature and Outdoors Programs are you interested in? Select all that apply.

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* 15. What type of Trips are you interested in? Select all that apply.

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* 16. A few potential funding sources to support the improvement of ACTIVE AGING services are listed below.

Please indicate your preferred level of financial support for THE IMPROVEMENT of parks and recreation services in Powhatan County (select all that apply).

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* 17. Do you have suggestions or comments?

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