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INTEREST CHECKLIST - MOHO Web

INTEREST CHECKLISTWhat has been your level of interestDo youcurrentlyparticipate inthis activity?Would youlike topursue thisin the future?ActivityIn the past ten yearsIn the past yearStrongSomeNoStrongSomeNoYesNoYesNoGa rdening YardworkSewing/needle workPlaying cardForeign languagesChurch activitiesRadioWalkingCar repairWritingDancingGolfFootballListenin g to popular musicPuzzlesHoliday ActivitiesPets/livestockMoviesListening to classical musicSpeeches/lecturesSwimmingBowlingVis itingMendingCheckers/ChessBarbecuesReadi ngTravelingPartiesWrestlingHousecleaning Model buildingTelevisionConcertsPotteryCopyrig ht 2020 Board of Trustees, University of Illinois.

INTEREST CHECKLIST What has been your level of interest Do you currently participate in this activity? Would you like to pursue this in the future? Activity In the past ten years In the past year Strong Some No Strong Some No Yes No Yes No Gardening Yardwork Sewing/needle work Playing card Foreign languages Church activities Radio Walking Car ...

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1 INTEREST CHECKLISTWhat has been your level of interestDo youcurrentlyparticipate inthis activity?Would youlike topursue thisin the future?ActivityIn the past ten yearsIn the past yearStrongSomeNoStrongSomeNoYesNoYesNoGa rdening YardworkSewing/needle workPlaying cardForeign languagesChurch activitiesRadioWalkingCar repairWritingDancingGolfFootballListenin g to popular musicPuzzlesHoliday ActivitiesPets/livestockMoviesListening to classical musicSpeeches/lecturesSwimmingBowlingVis itingMendingCheckers/ChessBarbecuesReadi ngTravelingPartiesWrestlingHousecleaning Model buildingTelevisionConcertsPotteryCopyrig ht 2020 Board of Trustees, University of Illinois.

2 For non-commercial use only. Permission required for all other CHECKLISTC ontinuedWhat has been your level of interestDo youcurrentlyparticipate inthis activity?Would youlike to pursuethis in thefuture?ActivityIn the past ten yearsIn the past yearStrongSomeNoStrongSomeNoYesNoYesNoCa mpingLaundry/IroningPoliticsTable gamesHome decoratingClubs/LodgeSingingScoutingClot hesHandicraftsHairstylingCyclingAttendin g playsBird watchingDatingAuto-racingHome repairsExerciseHuntingWoodworkingPoolDri vingChild careTennisCooking/BakingBasketballHistor yCollectingFishingScienceLeatherworkShop pingPhotographyPainting/DrawingCopyright 2020 Board of Trustees, University of Illinois.

3 For non-commercial use only. Permission required for all other uses.

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