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UAMS Caregiving: Schmieding Center – Springdale

Post-Tai Chi Class Survey

Thank you for agreeing to allow a follow-up survey regarding your experience in this program. Please take a moment to fill out the form below to help ensure that we are providing valuable programs to our community. By completing the survey you help us to continue to offer these programs at no cost to you.

Post-Tai Chi Class Survey
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How often do you exercise at home?
How often are you active?
How often are you sad or blue?
How often do you gather with family/friends?
How often do you fall?
How would you rate your current level of pain? Enter a number between 0 and 10 (0 is no pain; 10 is worst pain)