Gorlitz Kensington Clubs Leisure Interest Survey for Member
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date Picker Icon
I enjoy these nature activities.
Gardening/Yard Work
Nature study
Following the weather
Exercising outdoors
Explain Nature Activities
I enjoy games
Chess/Checkers/Cards
Paper Pencil Puzzles/Trivia
Puzzles
Computer games
Outdoor games
Explain the games you enjoy
I like to watch these sports
Baseball
Football
Basketball
Olympics
Tennis
Local Sports Teams (list below)
What sports do you like to watch?
I enjoy participating in these sports.
Winter
Spring
Summer
Fall
I don't like sports
What sports do you enjoy participating in?
I enjoy music.
Playing an instrument
Listening to or Watching Music
Singing
What kind of music do you enjoy?
I enjoy literature.
Poetry
Writing
Reading
List specific literature you enjoy.
I enjoy crafts.
Creating
Viewing
What specific crafts do you enjoy?
I enjoy art.
Creating
Viewing
What kind of art do you enjoy creating or viewing?
I enjoy traveling.
Domestic
International
Explain your favorite trips or locations you would like to visit.
I enjoy keeping up with current events.
Politics
Newspaper
Radio
Television
Computer
Explain specific current events you enjoy.
I exercise.
Walking
Seated exercise
Personal trainer
Going to the gym
Swimming
Explain specific exercises you enjoy.
I enjoy going out.
Restaurants
Cultural events
Educational events
Parties
Family events
Please give specifics about where you like to go out.
I maintain religious/spiritual practices.
Church
Synagogue
Temple
Mosque
Please expand on your religious and spiritual practices.
I enjoy these other hobbies not mentioned above.
I have a pet.
I collect these things.
I really don't like...
Three things I would really like to participate in at Kensington Clubs.
Here is some extra information about me that will help you get to know me.
Should be Empty: