Youth Community Needs Assessment Survey--West Toledo Y
Help us identify needs in our community! Fill out this survey to help us better serve you. Those who fill it out and provide their email address (not required, you can remain anonymous) are eligible for a $50 gift drawing!  If you are having problems with this survey please contact the West Toledo at 419 475 3496
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How many people are aged the following in your household?
0
1
2
3
4
5
6
Ages 0-2
Ages 3-5
Ages 6-12
Ages 13-17
Ages 18-25
Ages 26-40
Ages 41-65
Ages 65 & Up
Youth Arts & Humanities Programs: (may skip):   What type of programming would you register for if the West Y offered it? (you may select more than one)
Youth Sports  Programs: (may skip):  What type of programming would you register for if the West Y offered it?  (you may select more than one)
Youth Dance Programs: (may skip):   What type of programming would you register for if the West Y offered it?  (you may select more than one)
Youth Aquatic Programs: (may skip):   What type of programming would you register for if the West Y offered it?  (you may select more than one)
Youth chronic Health Programs: (may skip):   What type of programming would you register for if the West Y offered it?  (you may select more than one)
Other Programs and Activities you'd like to see the Y offer? (may skip)
What is your email address (not required, those who provide an email address and fill out this survey are eligible to win a $50 gift card!)
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