Program Interest Survey

Facility:	-Select Facility- Bond Hill Recreation Center Camp Washington Recreation Center Carthage Recreation Center Clifton Recreation Center College Hill Recreation Center Corryville Recreation Center Dunham Recreation Center Ebersole Recreation Center Evanston Recreation Center Hartwell Recreation Center Hirsch Recreation Center Kennedy/Woodford Recreation Center Krueck Recreation Center Leblond Recreation Center Lincoln Recreation Center Madisonville Recreation Center McKie Recreation Center Millvale Recreation Center Mt. Auburn Recreation Center Mt. Washington Recreation Center Myron B. Bush Recreation Center North Avondale Recreation Center Oakley Recreation Center Over-the-Rhine Recreation Center Pleasant Ridge Recreation Center Price Hill Recreation Center Sayler Park Recreation Center Westwood Town Hall Recreation Center Winton Hills Recreation Center
Gender:	Male Female
Age:
Zip:
What type of programs/times are you interested in? (check all that apply)
Arts/Crafts Program Morning (8am-11am) Lunch (11am-1pm) Afternoon (1pm-5pm) Dinner (5pm-7pm) Evening (7pm-10pm) Late Night (10pm-1am) Weekends Cartooning Ceramics Drawing Hand built crafts Holiday art Jewelry making Knitting/Crocheting Music Painting Pottery Puppets Quilting Theater/Drama Other: Camps Program Morning (8am-11am) Lunch (11am-1pm) Afternoon (1pm-5pm) Dinner (5pm-7pm) Evening (7pm-10pm) Late Night (10pm-1am) Weekends Youth after school Youth summer Teen summer Explorer summer Specialy/Other Other: Education Program Morning (8am-11am) Lunch (11am-1pm) Afternoon (1pm-5pm) Dinner (5pm-7pm) Evening (7pm-10pm) Late Night (10pm-1am) Weekends Computer Community Culinary GED Health/Wellness Nature Scout Badge Work Other: Family Program Morning (8am-11am) Lunch (11am-1pm) Afternoon (1pm-5pm) Dinner (5pm-7pm) Evening (7pm-10pm) Late Night (10pm-1am) Weekends Art Camping Classes Games Movies Other: Preschool Program Morning (8am-11am) Lunch (11am-1pm) Afternoon (1pm-5pm) Dinner (5pm-7pm) Evening (7pm-10pm) Late Night (10pm-1am) Weekends Art Cooking Movement Sports Other: Health/Fitness Program Morning (8am-11am) Lunch (11am-1pm) Afternoon (1pm-5pm) Dinner (5pm-7pm) Evening (7pm-10pm) Late Night (10pm-1am) Weekends Aerobics Aromatherapy Diet Classes/Group Jazzercise Holistic Pilates Safety Issues Walking/Running Club Yoga Other: Sport/Games Program Morning (8am-11am) Lunch (11am-1pm) Afternoon (1pm-5pm) Dinner (5pm-7pm) Evening (7pm-10pm) Late Night (10pm-1am) Weekends Adult Kickball Basketball Card/Board Games Corn Hole/Toss Dance Fishing Flag Football Floor Hockey Hiking Martial Arts Soccer Tumbling Video Games Volleyball Other: