ACTIVITY PARTICIPANT SURVEY

Please take a moment to complete this survey. Your feedback helps us continue to offer high quality activities designed to meet the needs and desires of our community. [Note: An asterisk indicates a required response to the question.]

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* 1. Please enter the name of the activity you are evaluating:

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* 2. Please enter the name of the instructor or activity leader:

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* 3. Please enter the day of the week and start time of your activity:

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* 4. Please indicate the participant's age group:

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* 5. Do you reside within the city limits of La Mesa?

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* 6. Please indicated the gender of the participant:

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* 7. How did you find out about this activity?

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* 8. Is this your first experience with City of La Mesa activities?

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* 9. If you answered "no" to the previous question, how many different La Mesa activities have you participated in during the past 12 months?

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