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Activity/Interest Questionnaire

We at Greenwood Adult Day Care and Respite Services, Inc. insures that we can provide you with the best services and activities as outlined below.

Please select your choice(s) by indicating a check mark next to the various activities.

Client Name: Contact Number:
Train Rides
Reading Fishing
Dancing/Karaoke Berry Picking
Arts and Crafts Sightseeing
Birthday celebrations Alyeska Tram Drive
Shopping (Various) Walking/Hiking
Candle/pottery/ulu factory tours Photography
Bingo Picnics/Parks
Holiday Celebrations Outdoor/Indoor Flea Market
Card Games/Darts Fur Rendezvous
Knitting/Beading Alaska State Fair
Coffee Shops Iditarod
Bible Study Wildlife Viewing
Plays Light hikes
Dining Out Saturday Market
Internet access Botanical Gardens
Greenhouse tours Carriage/sleigh rides
Seasonal professional tv games Garage Sales/Bazaar
Baking Glacier viewing
Light physical exercises Bowling
Healthy Nutritional Diet Class Other (specify)
Other (specify)  
When you click the SUBMIT button below your choices will be sent to our office and you will be redirected to our Release document. Please print, sign and return the Release document to our office by email, fax or postal mail.

Home | Our Services | Where We Are | Contact Us

Greenwood Lodge - Adult Day Care
8100 Greenwood Street, Anchorage, AK 99518
907-868-5297 | Cell 907-351-5321 | Fax 907-868-5185