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YES NO NO OPINION <br />LARGE SCREEN TV <br />DANCE FLOOR <br />TABLES (CARDS OR GAMES) <br />SOFAS <br />EASY CHAIRS <br />OTHER ~ <br />SPECIAL ACTVITIES <br />SELF DEFENSE CLASS(ES) <br />KARATE <br />TAI KWA?~1 DO , <br />MAKE-UP AND HAIR STYLING <br />DEMONSTRATIONS <br />lst AID & CPR <br />OTHER , <br /> <br />Thanks for giving us your opinion. The rest of the survey is <br />optional, so answer if you'd like to. <br />Present Grade in School Age <br />Male Female <br />When the lounge opens, I will come I might come , <br />I will not come <br />The lounge should be open to students from age 12 - 15 only. <br />Agree Disagree <br />If you could name the lounge anything what would a good name be? <br />I would like to be part of the planning committe for the teen <br />lounge. <br />No <br />Yes (Name & Phone number necessary) <br />Please Print: <br />Name: Phone <br /> <br />