Neighborhood Events Template
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1
. Do you live in Reunion?
Do you live in Reunion?
Yes
No
2
. Which age groups currently reside in your household? (Please check all that apply)
Which age groups currently reside in your household? (Please check all that apply)
0-5 years
6-12 years
13-17 years
18-54 years
55 and up
3
. How often do you visit the Reunion Recreation Center?
How often do you visit the Reunion Recreation Center?
Two or more times each week
Once per week
Once per month
Once every 2-3 months
Once every 6 months
Once a year
4
. What prevents you from using the Reunion Recreation Center more often?
What prevents you from using the Reunion Recreation Center more often?
5
. How often do you participate in programs/activities at the Reunion Recreation Center?
How often do you participate in programs/activities at the Reunion Recreation Center?
Daily
Weekly
Monthly
Yearly
Never
6
. If you do not participate in programs/activities at the Reunion Recreation Center, why not?
If you do not participate in programs/activities at the Reunion Recreation Center, why not?
7
. What types of programs or activities would you suggest for the following ages?
What types of programs or activities would you suggest for the following ages?
Toddlers (1-2 years)
Preschool (3-5 years)
Youth (6-11 years)
Jr. High (12-14 years)
High School (15-17 years)
Adult (18 Years & Up)
Seniors (55 and up)
8
. How would you rate the procedures used to register for programs/activities?
Excellent
Good
Average
Below Average
Poor
Fairness?
*
How would you rate the procedures used to register for programs/activities? Fairness? Excellent
Fairness? Good
Fairness? Average
Fairness? Below Average
Fairness? Poor
Efficiency?
Efficiency? Excellent
Efficiency? Good
Efficiency? Average
Efficiency? Below Average
Efficiency? Poor
Clarity of Instructions?
Clarity of Instructions? Excellent
Clarity of Instructions? Good
Clarity of Instructions? Average
Clarity of Instructions? Below Average
Clarity of Instructions? Poor
9
. Would you utilize the use of daycare, if provided by the recreation center for a small fee?
Would you utilize the use of daycare, if provided by the recreation center for a small fee?
Yes
No
10
. If you would like to volunteer your name and email address, you will be entered into a drawing to win one of four $50 gift cards. Your information will not be sold or shared. Please specify if you would like us to communicate district information and events to you.
If you would like to volunteer your name and email address, you will be entered into a drawing to win one of four $50 gift cards. Your information will not be sold or shared. Please specify if you would like us to communicate district information and events to you.
Name
Email Address
District/Event Information
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