8. Please provide a count if available. duplicated Number of individuals duplicated or [ ] count not available Duplicated 9. What are the age groups targeted by this program? mainly (Check all that apply) Children - Age 0-15 1 TAY - Age 16-25 2 Adults - Age 26-59 3 Seniors - Age 60+ 4 No main group(s) targets all ages equally – 5 10. What are the race/ethnicities targeted by this program? mainly (Check all that apply) Hispanic/Latino 1 White 2 Black/African American 3 Asian 4 American Indian, Native American, Alaskan Native 5 Native Hawaiian, Pacific Islander 6 Other 7 No main group(s) targets all equally – 8 11. Are materials and program activities provided in languages other than English? (Please check one box) Yes most of them – 1 Yes some of them – 2 Materials and activities are in English only 3 12. What special groups are served by this program? mainly
8. Please provide a duplicated count if available. Number of duplicated individuals or [ ] Duplicated count not available 9. What are the age groups mainly targeted by this program? (Check all that apply) 1 Children - Age 0-15 2 TAY - Age 16-25 3 Adults - Age 26-59 4 Seniors - Age 60+ 5 No main group(s) – targets all ages equally 10. What are the race/ethnicities mainly targeted by this program? (Check all that apply) 1 Hispanic/Latino 2 White 3 Black/African American 4 Asian 5 American Indian, Native American, Alaskan Native 6 Native Hawaiian, Pacific Islander 7 Other 8 No main group(s) – targets all equally 11. Are materials and program activities provided in languages other than English? (Please check one box) 1 Yes – most of them 2 Yes – some of them 3 Materials and activities are in English only 12. What special groups are mainly served by this program?
Program-Questionnaire-Fillable.docx