CSI Small Group Survey
CSI Small Group Survey
Name
First
Last
Phone
(###) ###-####
Email
Interests (Click Your Top 5)
Hiking
Cooking Class
Going to the Movies
Game Night
Bridge
Book Club
Dining Out Night
Music - Playing
Music - Listening
Dancing
Fishing
Sporting Events
Special Events (Museums, Concerts)
Other Interests
How Often Would You Be Interested in Participating?
Once a week
Once a month
Once a quarter
Once every six months
Questions/Comments
