Interest Checklist - Community Activities

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Interest Checklist

Community Entertainment

Activity Please tell me how you


currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

Charity Walks

Travelling

Movies

Shopping
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

Museums

Bingo

Concerts

Sports
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

Ping Pong

Basketball

Darts

POOL/ BILLIARDS
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know
Bowling

Golf

Football

Hockey

Baseball
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

MARTIAL ARTS/
BOXING

Arts

Activity Please tell me how you


currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

Drama/Play

Singing
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

Making Music

Writing Poems

Golf

Fashion/Cosmetics

Photography
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

Football

Painting or Drawing

Model Building

Woodworking

Needlework/
Crocheting
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

Pottery

Health Fitness

Activity Please tell me how you


currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

CYCLING
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know
DANCE CLASSES

AEROBICS AT THE GYM

SWIMMING

YOGA

SURFING

Home Activities
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

GARDENING

SEWING

COOKING/ BAKING

CAR/ MOTORCYLE
REPAIR

Leisure
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

GAMES/ INTERNET

TABLE GAMES

PUZZLES/
CROSSWORDS

COLLECTING
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

TV/ VIDEO

READING

LISTENING TO MUSIC

Outdoor
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

FISHING

KAYAKING/ BOATING

CLIMBING

WALKING/ HIKING
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

GARDENING

BIRDWATCHING

CAMPING

HORSE RIDING
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

PETS

Educational

Activity Please tell me how you


currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

ANTIQUES

SPEECHES/ LECTURES
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

ADULT EDUCATION

HISTORY

SCIENCE

POLITICS
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

FOREIGN LANGUAGE

FOREIGN CULTURE

ARITHMETIC

Social
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

GOING TO THE BAR

EATING OUT

SOCIAL/ NIGHT CLUBS

VISITING FRIENDS
Activity Please tell me how you
currently participate in this
activity:
Like a Lot Like Some Don’t like Don’t Know

VOLUNTEER WORK

CHURCH ACTIVITIES

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