CONTINUING EDUCATION INTEREST SURVEY

Please return the survey below.  Anyone may participate (resident or non-resident), regardless of whether or not you have ever taken a class.  Please fill out only one survey per individual.  If other members of your household would like to fill out a survey, they are available on the web site at http://www.ridgefieldschools.org

Mail completed	Peggy Bruno			
Surveys to:		Ridgefield Adult Education	
		70 Prospect Street		
		Ridgefield, CT  06877		
Email completed surveys to:				ridgefieldcontinuingeducation@gmail.com

Demographics

 Male	 Female	 Disabled (check if yes)

 18 & under	 19 - 29	 30 - 39	 40 - 49	 50 - 61	 62 - 79	 80 and over	

 Ridgefield resident		 non - resident (please list zip code) _______________________

 High School Graduate	 Some College	 Bachelor’s Degree or higher	

Advertising/Marketing

How did you hear about us?  Please check all that apply.

 Catalog/brochure	 Newspaper	 Friend	 Internet 	 Other  ___________________

Participation

Have you taken one or more classes through Ridgefield Adult Education during the past three years?

 Yes	 No

Interests	Please indicate areas where you would like to see more courses offered. 

 Computer	 Personal Finance	 Business	 Gardening/Herbs
 Interior Decoration	 Fitness/Qi Gong/Yoga	 Bridge	 Special Education
 Cooking	 Art & Photography	 Crafts/Sewing	 Foreign Languages
 Writing/Literature	 History/Social Studies	 Math/Science	 ESL/GED or Other

Please suggest new classes here: __________________________________________________________________________________
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