Page 0: Page 1: Wallingford Clubhouse 4122 Stone Way N. Seattle, WA 98103 MEMBER EMPLOYMENT & EDUCATION SURVEY Name:_________________________________________________ Date__________________________ 1.) Are you working? (circle one) Yes No If so, tell us about your job__________________________________________________ 2.) Are you volunteering anywhere? (circle one) Yes No If so, where are you volunteering?____________________________________________ Full time or part time?______________________________________________________ 3.) Are you taking any enrichment classes? (circle one) Yes No If so, what classes are you taking?____________________________________________ Page 2: 4.) What kind of classes would you like to take if they were available? 5.) Are you attending school? (circle one) Yes No If so, where are you attending, and what are you studying?_________________________ 6.) Just for fun : Are you left-handed or right-handed?__________ ________________________________________________________________________ Page 3: