| Activity | Times/week | Months/year | Duration(min) |
| Example: Board games | 1 | 12 | 60 |
| Board games/chess/checkers | |||
| Play bridge | |||
| Crosswords/word search/Sudoku | |||
| Reading/book club | |||
| Play musical instrument | |||
| Computer/internet | |||
| Draw/paint/ photography | |||
| Trivia | |||
| Arts/crafts/ scrapbooking | |||
| Knitting/sewing/ quilting | |||
| Puzzles | |||
| Other: | |||
| Other: |
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