Brain Games Pre-Survey Thank you for your interest in the Brain Games Group! Please take a few minutes to complete this short survey so we can tailor the group better to your interests and needs. "*" indicates required fields Enter your birthday * Required MM slash DD slash YYYY This field is hidden when viewing the formEmailThis field is hidden when viewing the formName First Last Cognitive StimulationHow often do you currently engage in activities that challenge your thinking (e.g., puzzles, reading, games)? Daily A few times a week Occasionally Rarely Never What types of mentally stimulating activities do you currently enjoy? (Check all that apply) Crossword puzzles Sudoku or number puzzles Trivia or quizzes Reading books or newspapers Card games or board games Learning something new (e.g., language, music) Other How satisfied are you with your current level of mental stimulation? Very satisfied Somewhat satisfied Neutral Somewhat unsatisfied Not satisfied at all Other mentally stimulating activities that you enjoySocial EngagementHow often do you participate in social activities with others (friends, groups, events)? Daily A few times a week Occasionally Rarely Never How important is social interaction to you when doing brain or memory games? Very important Somewhat important Not important Health and MemoryIn general, how would you describe your current memory and thinking skills? Excellent Good Fair Poor Are you interested in using brain games to help maintain or improve memory and focus? Yes Maybe No Expectations & PreferencesWhat are you hoping to get out of the Brain Games Group? (Check all that apply) Improve memory or thinking skills Meet new people Have fun Learn new games or skills Keep my brain active Other What kinds of activities would you like to see included? (Check all that apply) Trivia games Memory games Word puzzles Strategy board games Card games Group discussions or challenges Other What other outcomes are you hoping to get out of the Brain Games GroupWhat other kinds of activities would you like to see included
