HeySurvey survey

Senior Activity Survey 🧓✨

A simple survey to learn about activity interests, routines, and support needs for older adults.

How often do you take part in social or physical activities each week?*

Think about activities like walking, exercise classes, games, or group events.

Every day
4–6 times a week
2–3 times a week
Once a week
Less than once a week

Which types of activities do you enjoy most?*

Choose all that apply.

Walking or light exercise
Arts and crafts
Reading or book clubs
Music, singing, or dancing
Board games or puzzles
Social gatherings
Gardening
Other

How interested are you in trying new activities?*

This helps us understand openness to new programs and events.

1

2

3

4

5

Not interested to Very interested

What time of day do you prefer for activities?

Pick the time that usually works best for you.

Morning
Early afternoon
Late afternoon
Evening
No preference

What makes it hard to join activities sometimes?

Choose any challenges that apply to you.

Transportation
Health or mobility concerns
Cost
Lack of interest
Timing or schedule
Not enough information about activities
I do not face any major challenges

How satisfied are you with the current activities available to you?*

Please rate your overall satisfaction.

1

2

3

4

5

Very dissatisfied to Very satisfied

What kinds of new activities would you like to see offered?

Share any ideas that would make activities more enjoyable or useful.

Do you prefer activities in a group or on your own?

This helps us plan programs that feel comfortable and enjoyable.

Mostly group activities
Mostly individual activities
A mix of both
No preference

Is there anything else that would help you take part more often?

You can mention support, services, or ideas that would make joining easier.

Thank you for taking a part in this survey.

This is a HeySurvey survey template.