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INTEREST CHECKLIST - Seniors Flourish

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 buildingTelevisionConcertsPotteryINTERES T 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/Drawing

INTEREST CHECKLIST Continued What has been your level of interest Do you currently participate in this activity? Would you like to pursue this in the future?

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Transcription of INTEREST CHECKLIST - Seniors Flourish

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 buildingTelevisionConcertsPotteryINTERES T 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/Drawing


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