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Youth Center
1. Youth Center Survey
1
. Where do you live?
Where do you live?
On Base
Wheatland area
Plumas Lake
Edgewater
Other (please specify)
2
. Are your children currently members of the youth program?
Are your children currently members of the youth program?
Yes
No
3
. If not, why?
If not, why?
4
. Do they participate in the program occasionally?
Do they participate in the program occasionally?
Yes
No
5
. Which of the following sports would your child participate in if offered?
Which of the following sports would your child participate in if offered?
Flag Football
Recreational Baseball
Ice Skating
Running Club
Fitness Class
Soccer Volleyball
Skiing/Snowboarding
Aerobics/Fitness
Track & Field
Swim Team
Tennis
Cheerleading
Martial arts
Golf
Basketball
Gymnastics
Indoor Soccer
Bowling
Other (please specify)
6
. Which of the following attractions would your child be interested in?
Which of the following attractions would your child be interested in?
Great America
Sunsplash
San Francisco/Sacramento Zoo
Zeum
Academy of Science, SF
Exploratorium, SF
Lawrence Hall of Science,
Berkeley
Six Flags Discovery Kingdom
CA Railroad Museum
Alcatraz
Winchester Mystery House
Children's Discovery Museum
NASA Ame's Research Center
Raging Waters,Sac
Chabot Space & Science Center
Santa Cruz Beach Boardwalk
Monterey Bay Aquarium
Other (please specify)
7
. Which of the following places would your child visit?
Which of the following places would your child visit?
Yosemite NP
Lake Tahoe
San Francisco/Fisherman's Wharf
Old Sacramento
Mendocion/Ft. Bragg
The Redwoods
Sequoia NP
Carson City/Virginia City NV
Other (please specify)
8
. Which of the following activities would your child most likely participate in if offered?
Which of the following activities would your child most likely participate in if offered?
Theme Parties
Lock-Ins
Computer Workshops/Games
Babysitting Certification
Fit Factor
Torch Club
Jr. Staff
Movie Nights
Chorus/Choir
Art
Community Services
Dances
Keystone Club
Career Launch
Game Night
Band/Music
Cooking
4H
Field trips
Sports Clubs
Tournaments
Drama/Theater
Crime Investigation
Triple Play
Animal Care Team
Video games
9
. Which of the following would you have your TEEN participate in if offered?
Which of the following would you have your TEEN participate in if offered?
Weekend /Camping Trip
Snowboarding/Skiing Trip
Fishing
Kayaking/Canoeing
Hiking/Backpacking
Bicycling
Waterskiing/Wakeboarding
Parasailing
Whitewater Rafting
Mountain Climbing
Youth Employment Programs
Other (please specify)
10
. What days of the week are best for your child to participate in recreational activities?
What days of the week are best for your child to participate in recreational activities?
Mon
Tue
Wed
Thr
Fri
Sat
Sun
11
. It is extremely important to us to get our information out to you. Which of the following ways are best for us to provide our upcoming activity information to you?
It is extremely important to us to get our information out to you. Which of the following ways are best for us to provide our upcoming activity information to you?
Email, please provide:
Text message, please provide phone number with area code:
Direct mail, please provide complete mailing address with name and zip code:
12
. Do you get information for your from our normal network?
Do you get information for your from our normal network?
Stratosphere Magazine
Basewide emails
Flyers/Posters
13
. Although your name and phone number is optional, if we need further information about your child, can we contact you?
Although your name and phone number is optional, if we need further information about your child, can we contact you?
Name, Address, City/State/Zip
Email
Home or cell phone
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