Program Survey - Parents and Volunteers

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1. How are you currently affiliated with Girl Scouts? List number of years you were involved.

	1 yr	2 yrs	3 yrs	4 yrs	5 yrs	6 yrs	7 yrs or more
Parent	*How are you currently affiliated with Girl Scouts? List number of years you were involved. Parent 1 yr	Parent 2 yrs	Parent 3 yrs	Parent 4 yrs	Parent 5 yrs	Parent 6 yrs	Parent 7 yrs or more
Leader/Co-Leader	Leader/Co-Leader 1 yr	Leader/Co-Leader 2 yrs	Leader/Co-Leader 3 yrs	Leader/Co-Leader 4 yrs	Leader/Co-Leader 5 yrs	Leader/Co-Leader 6 yrs	Leader/Co-Leader 7 yrs or more
Assistant Leader/ Troop Committee Member	Assistant Leader/ Troop Committee Member 1 yr	Assistant Leader/ Troop Committee Member 2 yrs	Assistant Leader/ Troop Committee Member 3 yrs	Assistant Leader/ Troop Committee Member 4 yrs	Assistant Leader/ Troop Committee Member 5 yrs	Assistant Leader/ Troop Committee Member 6 yrs	Assistant Leader/ Troop Committee Member 7 yrs or more
Fall Product Sale/Cookie Sale Manager	Fall Product Sale/Cookie Sale Manager 1 yr	Fall Product Sale/Cookie Sale Manager 2 yrs	Fall Product Sale/Cookie Sale Manager 3 yrs	Fall Product Sale/Cookie Sale Manager 4 yrs	Fall Product Sale/Cookie Sale Manager 5 yrs	Fall Product Sale/Cookie Sale Manager 6 yrs	Fall Product Sale/Cookie Sale Manager 7 yrs or more
Service Unit Manager	Service Unit Manager 1 yr	Service Unit Manager 2 yrs	Service Unit Manager 3 yrs	Service Unit Manager 4 yrs	Service Unit Manager 5 yrs	Service Unit Manager 6 yrs	Service Unit Manager 7 yrs or more
Service Team Member	Service Team Member 1 yr	Service Team Member 2 yrs	Service Team Member 3 yrs	Service Team Member 4 yrs	Service Team Member 5 yrs	Service Team Member 6 yrs	Service Team Member 7 yrs or more
Service Unit Product Sales Manager	Service Unit Product Sales Manager 1 yr	Service Unit Product Sales Manager 2 yrs	Service Unit Product Sales Manager 3 yrs	Service Unit Product Sales Manager 4 yrs	Service Unit Product Sales Manager 5 yrs	Service Unit Product Sales Manager 6 yrs	Service Unit Product Sales Manager 7 yrs or more
Trainer/Facilitator	Trainer/Facilitator 1 yr	Trainer/Facilitator 2 yrs	Trainer/Facilitator 3 yrs	Trainer/Facilitator 4 yrs	Trainer/Facilitator 5 yrs	Trainer/Facilitator 6 yrs	Trainer/Facilitator 7 yrs or more
Board Member	Board Member 1 yr	Board Member 2 yrs	Board Member 3 yrs	Board Member 4 yrs	Board Member 5 yrs	Board Member 6 yrs	Board Member 7 yrs or more

If you are a parent: What are the ages of your daughters? What is their grade levels?

2. How many council sponsored events have your girl/s attended in the past year?

How many council sponsored events have your girl/s attended in the past year?   0 1 2 3-4 5-6 7 or more

3. How many Service Unit events have your girl/s attended in the past year? (such as bridging, awards, badge days, camping events, etc.)?

How many Service Unit events have your girl/s attended in the past year? (such as bridging, awards, badge days, camping events, etc.)?   0 1 2 3-4 5-6 7 or more

4. What is your ideal conception of Council-Sponsored Program (check all that apply)

What is your ideal conception of Council-Sponsored Program (check all that apply)   A light sampling of a variety of interests(not in-depth), with the responsibility for further exploration of the topic left to the girl and/or troop. Example: a dance badge workshop, but not a series of dance lessons A medium exploration of a topic, such as a series of dance workshops covering folk dances, ballet, jazz, tap, international dances, etc., to be held over a series of weeks. Girls could opt in or out of each individual workshop, taking all or only the ones that interested them. An in-depth exploration of a topic, and options for further participation, such as a series of dance lessons, and the opportunity to belong to a Girl Scout dance troupe which might perform around the region An opportunity for girls to get together close to home and focus on a special topic or interest An opportunity for girls to mix with other girls from around our entire region Program should be about fun and interaction, not badges Program should be about fun and interaction, should also incorporate badge work Program should be badge focused Program should be focus around topics I do not feel comfortable or have the resources to deliver myself Program should focus on a Journey activity/activities

5. How far are you willing o travel to take your girl/s to council-sponsored events?

How far are you willing o travel to take your girl/s to council-sponsored events?   Up to 15 minutes Up to 30 minutes Up to 45 minutes Up to 1 hour More than 1 hour

6. What topics would you like to see Girl Scouts of Central Indiana address in council-sponsored events? Please number in order of preference, with 1 being your most important topic, and your last number being last. Do not put a number if the topic that you feel does not interest your girl/s or that you feel does not need to be addressed for your girl/s through a council-sponsored event or program.

	1	2	3	4
Acting	*What topics would you like to see Girl Scouts of Central Indiana address in council-sponsored events? Please number in order of preference, with 1 being your most important topic, and your last number being last. Do not put a number if the topic that you feel does not interest your girl/s or that you feel does not need to be addressed for your girl/s through a council-sponsored event or program. Acting 1	Acting 2	Acting 3	Acting 4
Aerobics	Aerobics 1	Aerobics 2	Aerobics 3	Aerobics 4
Animal care	Animal care 1	Animal care 2	Animal care 3	Animal care 4
Animal rehab and rescue	Animal rehab and rescue 1	Animal rehab and rescue 2	Animal rehab and rescue 3	Animal rehab and rescue 4
Appreciating others	Appreciating others 1	Appreciating others 2	Appreciating others 3	Appreciating others 4
Architecture	Architecture 1	Architecture 2	Architecture 3	Architecture 4
Art lessons	Art lessons 1	Art lessons 2	Art lessons 3	Art lessons 4
Art/Craft sampler events	Art/Craft sampler events 1	Art/Craft sampler events 2	Art/Craft sampler events 3	Art/Craft sampler events 4
Astronomy	Astronomy 1	Astronomy 2	Astronomy 3	Astronomy 4
Babysitting	Babysitting 1	Babysitting 2	Babysitting 3	Babysitting 4
Backpacking	Backpacking 1	Backpacking 2	Backpacking 3	Backpacking 4
Ballet	Ballet 1	Ballet 2	Ballet 3	Ballet 4
Band, symphony, choir, etc.	Band, symphony, choir, etc. 1	Band, symphony, choir, etc. 2	Band, symphony, choir, etc. 3	Band, symphony, choir, etc. 4
Basketball	Basketball 1	Basketball 2	Basketball 3	Basketball 4
Behind the scenes zoo tours	Behind the scenes zoo tours 1	Behind the scenes zoo tours 2	Behind the scenes zoo tours 3	Behind the scenes zoo tours 4
Belly dance	Belly dance 1	Belly dance 2	Belly dance 3	Belly dance 4
Biking	Biking 1	Biking 2	Biking 3	Biking 4
Calligraphy	Calligraphy 1	Calligraphy 2	Calligraphy 3	Calligraphy 4
Candlemaking	Candlemaking 1	Candlemaking 2	Candlemaking 3	Candlemaking 4
Canoeing	Canoeing 1	Canoeing 2	Canoeing 3	Canoeing 4
cheer leading	cheer leading 1	cheer leading 2	cheer leading 3	cheer leading 4
Chemistry	Chemistry 1	Chemistry 2	Chemistry 3	Chemistry 4
Competitive science fairs or teams	Competitive science fairs or teams 1	Competitive science fairs or teams 2	Competitive science fairs or teams 3	Competitive science fairs or teams 4
Computer animation	Computer animation 1	Computer animation 2	Computer animation 3	Computer animation 4
Computer program design	Computer program design 1	Computer program design 2	Computer program design 3	Computer program design 4
Conflict resolution workshop	Conflict resolution workshop 1	Conflict resolution workshop 2	Conflict resolution workshop 3	Conflict resolution workshop 4
Cooking	Cooking 1	Cooking 2	Cooking 3	Cooking 4
costuming	costuming 1	costuming 2	costuming 3	costuming 4
Council newsletter staff	Council newsletter staff 1	Council newsletter staff 2	Council newsletter staff 3	Council newsletter staff 4
Council service project	Council service project 1	Council service project 2	Council service project 3	Council service project 4
Crafts workshops	Crafts workshops 1	Crafts workshops 2	Crafts workshops 3	Crafts workshops 4
Cross-stitch/needlepoint	Cross-stitch/needlepoint 1	Cross-stitch/needlepoint 2	Cross-stitch/needlepoint 3	Cross-stitch/needlepoint 4
Dance lessons	Dance lessons 1	Dance lessons 2	Dance lessons 3	Dance lessons 4
Dance sampler events	Dance sampler events 1	Dance sampler events 2	Dance sampler events 3	Dance sampler events 4
Dance team or troupe	Dance team or troupe 1	Dance team or troupe 2	Dance team or troupe 3	Dance team or troupe 4
Dealing with bullies	Dealing with bullies 1	Dealing with bullies 2	Dealing with bullies 3	Dealing with bullies 4
Dealing with mean girls	Dealing with mean girls 1	Dealing with mean girls 2	Dealing with mean girls 3	Dealing with mean girls 4
Dealing with peer pressure	Dealing with peer pressure 1	Dealing with peer pressure 2	Dealing with peer pressure 3	Dealing with peer pressure 4
Directing	Directing 1	Directing 2	Directing 3	Directing 4
Diving	Diving 1	Diving 2	Diving 3	Diving 4
Drama lessons	Drama lessons 1	Drama lessons 2	Drama lessons 3	Drama lessons 4
Drama sampler events	Drama sampler events 1	Drama sampler events 2	Drama sampler events 3	Drama sampler events 4
Drama sampler events	Drama sampler events 1	Drama sampler events 2	Drama sampler events 3	Drama sampler events 4
Drama troupe/regional theater productions	Drama troupe/regional theater productions 1	Drama troupe/regional theater productions 2	Drama troupe/regional theater productions 3	Drama troupe/regional theater productions 4
Drawing	Drawing 1	Drawing 2	Drawing 3	Drawing 4
Drug, cigarette, and alcohol education	Drug, cigarette, and alcohol education 1	Drug, cigarette, and alcohol education 2	Drug, cigarette, and alcohol education 3	Drug, cigarette, and alcohol education 4
Engineering	Engineering 1	Engineering 2	Engineering 3	Engineering 4
Environmental education	Environmental education 1	Environmental education 2	Environmental education 3	Environmental education 4
Fantasy stock market	Fantasy stock market 1	Fantasy stock market 2	Fantasy stock market 3	Fantasy stock market 4
Fashion design	Fashion design 1	Fashion design 2	Fashion design 3	Fashion design 4
Financial literacy workshop	Financial literacy workshop 1	Financial literacy workshop 2	Financial literacy workshop 3	Financial literacy workshop 4
Folk dance	Folk dance 1	Folk dance 2	Folk dance 3	Folk dance 4
Football	Football 1	Football 2	Football 3	Football 4
Games workshops	Games workshops 1	Games workshops 2	Games workshops 3	Games workshops 4
Geology	Geology 1	Geology 2	Geology 3	Geology 4
Getting along with others	Getting along with others 1	Getting along with others 2	Getting along with others 3	Getting along with others 4
Golf	Golf 1	Golf 2	Golf 3	Golf 4
Guitar	Guitar 1	Guitar 2	Guitar 3	Guitar 4
Gymnastics	Gymnastics 1	Gymnastics 2	Gymnastics 3	Gymnastics 4
habitat study	habitat study 1	habitat study 2	habitat study 3	habitat study 4
Heritage events (Native American, Hispanic, Irish, African-American, Italian, Polish, etc.)	Heritage events (Native American, Hispanic, Irish, African-American, Italian, Polish, etc.) 1	Heritage events (Native American, Hispanic, Irish, African-American, Italian, Polish, etc.) 2	Heritage events (Native American, Hispanic, Irish, African-American, Italian, Polish, etc.) 3	Heritage events (Native American, Hispanic, Irish, African-American, Italian, Polish, etc.) 4
Hiking	Hiking 1	Hiking 2	Hiking 3	Hiking 4
Hockey	Hockey 1	Hockey 2	Hockey 3	Hockey 4
Horseback riding	Horseback riding 1	Horseback riding 2	Horseback riding 3	Horseback riding 4
Ice Skating	Ice Skating 1	Ice Skating 2	Ice Skating 3	Ice Skating 4
Intergerational events	Intergerational events 1	Intergerational events 2	Intergerational events 3	Intergerational events 4
Interior design	Interior design 1	Interior design 2	Interior design 3	Interior design 4
International Fairs	International Fairs 1	International Fairs 2	International Fairs 3	International Fairs 4
Investing workshops	Investing workshops 1	Investing workshops 2	Investing workshops 3	Investing workshops 4
Jazz dance	Jazz dance 1	Jazz dance 2	Jazz dance 3	Jazz dance 4
Jazzercise	Jazzercise 1	Jazzercise 2	Jazzercise 3	Jazzercise 4
Journalism	Journalism 1	Journalism 2	Journalism 3	Journalism 4
Juried art fairs	Juried art fairs 1	Juried art fairs 2	Juried art fairs 3	Juried art fairs 4
Karate	Karate 1	Karate 2	Karate 3	Karate 4
Kayaking	Kayaking 1	Kayaking 2	Kayaking 3	Kayaking 4
Kickboxing	Kickboxing 1	Kickboxing 2	Kickboxing 3	Kickboxing 4
Lacrosse	Lacrosse 1	Lacrosse 2	Lacrosse 3	Lacrosse 4
Landscape architecture	Landscape architecture 1	Landscape architecture 2	Landscape architecture 3	Landscape architecture 4
Learning how to handle money	Learning how to handle money 1	Learning how to handle money 2	Learning how to handle money 3	Learning how to handle money 4
Learning to make decisions	Learning to make decisions 1	Learning to make decisions 2	Learning to make decisions 3	Learning to make decisions 4
Lego design	Lego design 1	Lego design 2	Lego design 3	Lego design 4
Lock-ins (bowling, skating, gym, etc.)	Lock-ins (bowling, skating, gym, etc.) 1	Lock-ins (bowling, skating, gym, etc.) 2	Lock-ins (bowling, skating, gym, etc.) 3	Lock-ins (bowling, skating, gym, etc.) 4
Map and compass workshop	Map and compass workshop 1	Map and compass workshop 2	Map and compass workshop 3	Map and compass workshop 4
Media design and layout	Media design and layout 1	Media design and layout 2	Media design and layout 3	Media design and layout 4
Medicine	Medicine 1	Medicine 2	Medicine 3	Medicine 4
Modeling	Modeling 1	Modeling 2	Modeling 3	Modeling 4
Music lessons	Music lessons 1	Music lessons 2	Music lessons 3	Music lessons 4
Music sampler events	Music sampler events 1	Music sampler events 2	Music sampler events 3	Music sampler events 4
Musical Instruments	Musical Instruments 1	Musical Instruments 2	Musical Instruments 3	Musical Instruments 4
Orientation lessons and fieldwork	Orientation lessons and fieldwork 1	Orientation lessons and fieldwork 2	Orientation lessons and fieldwork 3	Orientation lessons and fieldwork 4
Orientation team	Orientation team 1	Orientation team 2	Orientation team 3	Orientation team 4
Painting	Painting 1	Painting 2	Painting 3	Painting 4
Papermaking	Papermaking 1	Papermaking 2	Papermaking 3	Papermaking 4
Participating in Council play or musical	Participating in Council play or musical 1	Participating in Council play or musical 2	Participating in Council play or musical 3	Participating in Council play or musical 4
Peer mediator	Peer mediator 1	Peer mediator 2	Peer mediator 3	Peer mediator 4
Photography	Photography 1	Photography 2	Photography 3	Photography 4
Physics	Physics 1	Physics 2	Physics 3	Physics 4
Plants and gardening	Plants and gardening 1	Plants and gardening 2	Plants and gardening 3	Plants and gardening 4
Pond/river studies	Pond/river studies 1	Pond/river studies 2	Pond/river studies 3	Pond/river studies 4
Popular dance	Popular dance 1	Popular dance 2	Popular dance 3	Popular dance 4
Pottery/ceramics	Pottery/ceramics 1	Pottery/ceramics 2	Pottery/ceramics 3	Pottery/ceramics 4
Primitive camping	Primitive camping 1	Primitive camping 2	Primitive camping 3	Primitive camping 4
Public speaking	Public speaking 1	Public speaking 2	Public speaking 3	Public speaking 4
Quilting	Quilting 1	Quilting 2	Quilting 3	Quilting 4
Rappelling	Rappelling 1	Rappelling 2	Rappelling 3	Rappelling 4
Robotics	Robotics 1	Robotics 2	Robotics 3	Robotics 4
Rock climbing	Rock climbing 1	Rock climbing 2	Rock climbing 3	Rock climbing 4
Rollerblading	Rollerblading 1	Rollerblading 2	Rollerblading 3	Rollerblading 4
Sailing	Sailing 1	Sailing 2	Sailing 3	Sailing 4
Science lessons	Science lessons 1	Science lessons 2	Science lessons 3	Science lessons 4
Science sampler events	Science sampler events 1	Science sampler events 2	Science sampler events 3	Science sampler events 4
Scuba diving	Scuba diving 1	Scuba diving 2	Scuba diving 3	Scuba diving 4
Sculpture	Sculpture 1	Sculpture 2	Sculpture 3	Sculpture 4
Self defense	Self defense 1	Self defense 2	Self defense 3	Self defense 4
Series of conflict resolution workshops	Series of conflict resolution workshops 1	Series of conflict resolution workshops 2	Series of conflict resolution workshops 3	Series of conflict resolution workshops 4
Set design	Set design 1	Set design 2	Set design 3	Set design 4
Sewing	Sewing 1	Sewing 2	Sewing 3	Sewing 4
Singing	Singing 1	Singing 2	Singing 3	Singing 4
Skateboarding	Skateboarding 1	Skateboarding 2	Skateboarding 3	Skateboarding 4
Skiing	Skiing 1	Skiing 2	Skiing 3	Skiing 4
Snowboarding	Snowboarding 1	Snowboarding 2	Snowboarding 3	Snowboarding 4
Snowshoeing	Snowshoeing 1	Snowshoeing 2	Snowshoeing 3	Snowshoeing 4
Soccer	Soccer 1	Soccer 2	Soccer 3	Soccer 4
Softball	Softball 1	Softball 2	Softball 3	Softball 4
Songs workshops	Songs workshops 1	Songs workshops 2	Songs workshops 3	Songs workshops 4
Sports lessons	Sports lessons 1	Sports lessons 2	Sports lessons 3	Sports lessons 4
Sports sampler events	Sports sampler events 1	Sports sampler events 2	Sports sampler events 3	Sports sampler events 4
Sports teams	Sports teams 1	Sports teams 2	Sports teams 3	Sports teams 4
Starting a business	Starting a business 1	Starting a business 2	Starting a business 3	Starting a business 4
Swimming	Swimming 1	Swimming 2	Swimming 3	Swimming 4
Tai Chi	Tai Chi 1	Tai Chi 2	Tai Chi 3	Tai Chi 4
Tennis	Tennis 1	Tennis 2	Tennis 3	Tennis 4
Thinking Day events	Thinking Day events 1	Thinking Day events 2	Thinking Day events 3	Thinking Day events 4
Trail building and design	Trail building and design 1	Trail building and design 2	Trail building and design 3	Trail building and design 4
Veterinary science	Veterinary science 1	Veterinary science 2	Veterinary science 3	Veterinary science 4
Video Game play and design	Video Game play and design 1	Video Game play and design 2	Video Game play and design 3	Video Game play and design 4
Videography/film making	Videography/film making 1	Videography/film making 2	Videography/film making 3	Videography/film making 4
Watercolors	Watercolors 1	Watercolors 2	Watercolors 3	Watercolors 4
Weaving	Weaving 1	Weaving 2	Weaving 3	Weaving 4
Winter camping	Winter camping 1	Winter camping 2	Winter camping 3	Winter camping 4
Winter holidsy events (Christmas, Hannukah, Kwansa, Festival of Lights, etc.)	Winter holidsy events (Christmas, Hannukah, Kwansa, Festival of Lights, etc.) 1	Winter holidsy events (Christmas, Hannukah, Kwansa, Festival of Lights, etc.) 2	Winter holidsy events (Christmas, Hannukah, Kwansa, Festival of Lights, etc.) 3	Winter holidsy events (Christmas, Hannukah, Kwansa, Festival of Lights, etc.) 4
Writing/ design lessons	Writing/ design lessons 1	Writing/ design lessons 2	Writing/ design lessons 3	Writing/ design lessons 4
Writing/ layout workshop	Writing/ layout workshop 1	Writing/ layout workshop 2	Writing/ layout workshop 3	Writing/ layout workshop 4

Badge workshops (list)

7. What issues concern you the most regard to girls? Please rate your hightest concern with a 1, your next concern with a 2, etc. You do not need to rae any issue that you feel is not a priority for girls.

	1 Very concerned	2 Somewhat concerned	3 Mildly concerned	4 No concern
Academics	*What issues concern you the most regard to girls? Please rate your hightest concern with a 1, your next concern with a 2, etc. You do not need to rae any issue that you feel is not a priority for girls. Academics 1 Very concerned	Academics 2 Somewhat concerned	Academics 3 Mildly concerned	Academics 4 No concern
Alcohol abuse	Alcohol abuse 1 Very concerned	Alcohol abuse 2 Somewhat concerned	Alcohol abuse 3 Mildly concerned	Alcohol abuse 4 No concern
Body image	Body image 1 Very concerned	Body image 2 Somewhat concerned	Body image 3 Mildly concerned	Body image 4 No concern
Bullying	Bullying 1 Very concerned	Bullying 2 Somewhat concerned	Bullying 3 Mildly concerned	Bullying 4 No concern
Conflict resolution	Conflict resolution 1 Very concerned	Conflict resolution 2 Somewhat concerned	Conflict resolution 3 Mildly concerned	Conflict resolution 4 No concern
Drug abuse	Drug abuse 1 Very concerned	Drug abuse 2 Somewhat concerned	Drug abuse 3 Mildly concerned	Drug abuse 4 No concern
Fitness/Healthy eating	Fitness/Healthy eating 1 Very concerned	Fitness/Healthy eating 2 Somewhat concerned	Fitness/Healthy eating 3 Mildly concerned	Fitness/Healthy eating 4 No concern
Gender income gap	Gender income gap 1 Very concerned	Gender income gap 2 Somewhat concerned	Gender income gap 3 Mildly concerned	Gender income gap 4 No concern
Lack of interest in math/science/technology	Lack of interest in math/science/technology 1 Very concerned	Lack of interest in math/science/technology 2 Somewhat concerned	Lack of interest in math/science/technology 3 Mildly concerned	Lack of interest in math/science/technology 4 No concern
Obesity	Obesity 1 Very concerned	Obesity 2 Somewhat concerned	Obesity 3 Mildly concerned	Obesity 4 No concern
Peer pressure	Peer pressure 1 Very concerned	Peer pressure 2 Somewhat concerned	Peer pressure 3 Mildly concerned	Peer pressure 4 No concern
Self esteem	Self esteem 1 Very concerned	Self esteem 2 Somewhat concerned	Self esteem 3 Mildly concerned	Self esteem 4 No concern
Sexual promiscuity	Sexual promiscuity 1 Very concerned	Sexual promiscuity 2 Somewhat concerned	Sexual promiscuity 3 Mildly concerned	Sexual promiscuity 4 No concern
Teen pregnancy	Teen pregnancy 1 Very concerned	Teen pregnancy 2 Somewhat concerned	Teen pregnancy 3 Mildly concerned	Teen pregnancy 4 No concern
Violence	Violence 1 Very concerned	Violence 2 Somewhat concerned	Violence 3 Mildly concerned	Violence 4 No concern

Other (please specify)

8. In addition to council-sponsored events, what resources do you wish GSCI would also provide leaders to deliver quality program? Examples might include badge kits, field trip contacts, etc. Please be specific.

In addition to council-sponsored events, what resources do you wish GSCI would also provide leaders to deliver quality program? Examples might include badge kits, field trip contacts, etc. Please be specific.

9. Please rate the facility options below.

	1 For all facilities you feel are essential to have at a Girl Scout camp property	2 For all facilities that would be nice, but not essential	3 For all facilities that you think are not needed
Access to washer/dryer	*Please rate the facility options below. Access to washer/dryer 1 For all facilities you feel are essential to have at a Girl Scout camp property	Access to washer/dryer 2 For all facilities that would be nice, but not essential	Access to washer/dryer 3 For all facilities that you think are not needed
Adirondack shelters(3 sided huts with tent flap opening on 4th side, holds 4-6)	Adirondack shelters(3 sided huts with tent flap opening on 4th side, holds 4-6) 1 For all facilities you feel are essential to have at a Girl Scout camp property	Adirondack shelters(3 sided huts with tent flap opening on 4th side, holds 4-6) 2 For all facilities that would be nice, but not essential	Adirondack shelters(3 sided huts with tent flap opening on 4th side, holds 4-6) 3 For all facilities that you think are not needed
Amphiheater	Amphiheater 1 For all facilities you feel are essential to have at a Girl Scout camp property	Amphiheater 2 For all facilities that would be nice, but not essential	Amphiheater 3 For all facilities that you think are not needed
Arts Center	Arts Center 1 For all facilities you feel are essential to have at a Girl Scout camp property	Arts Center 2 For all facilities that would be nice, but not essential	Arts Center 3 For all facilities that you think are not needed
Cabins(holds 12-24 people in 2 or more rooms)	Cabins(holds 12-24 people in 2 or more rooms) 1 For all facilities you feel are essential to have at a Girl Scout camp property	Cabins(holds 12-24 people in 2 or more rooms) 2 For all facilities that would be nice, but not essential	Cabins(holds 12-24 people in 2 or more rooms) 3 For all facilities that you think are not needed
Charcoal grills at every living unit	Charcoal grills at every living unit 1 For all facilities you feel are essential to have at a Girl Scout camp property	Charcoal grills at every living unit 2 For all facilities that would be nice, but not essential	Charcoal grills at every living unit 3 For all facilities that you think are not needed
Commercial Kitchen	Commercial Kitchen 1 For all facilities you feel are essential to have at a Girl Scout camp property	Commercial Kitchen 2 For all facilities that would be nice, but not essential	Commercial Kitchen 3 For all facilities that you think are not needed
Dining Hall	Dining Hall 1 For all facilities you feel are essential to have at a Girl Scout camp property	Dining Hall 2 For all facilities that would be nice, but not essential	Dining Hall 3 For all facilities that you think are not needed
Dorm style lodge(holds 12-24 people in 1 large room)	Dorm style lodge(holds 12-24 people in 1 large room) 1 For all facilities you feel are essential to have at a Girl Scout camp property	Dorm style lodge(holds 12-24 people in 1 large room) 2 For all facilities that would be nice, but not essential	Dorm style lodge(holds 12-24 people in 1 large room) 3 For all facilities that you think are not needed
Fire circles at every living unit	Fire circles at every living unit 1 For all facilities you feel are essential to have at a Girl Scout camp property	Fire circles at every living unit 2 For all facilities that would be nice, but not essential	Fire circles at every living unit 3 For all facilities that you think are not needed
Flush toilets in a wash house	Flush toilets in a wash house 1 For all facilities you feel are essential to have at a Girl Scout camp property	Flush toilets in a wash house 2 For all facilities that would be nice, but not essential	Flush toilets in a wash house 3 For all facilities that you think are not needed
Flush toilets inside a cabin/lodge	Flush toilets inside a cabin/lodge 1 For all facilities you feel are essential to have at a Girl Scout camp property	Flush toilets inside a cabin/lodge 2 For all facilities that would be nice, but not essential	Flush toilets inside a cabin/lodge 3 For all facilities that you think are not needed
Hot showers in a cabin/lodge	Hot showers in a cabin/lodge 1 For all facilities you feel are essential to have at a Girl Scout camp property	Hot showers in a cabin/lodge 2 For all facilities that would be nice, but not essential	Hot showers in a cabin/lodge 3 For all facilities that you think are not needed
Hot showers in a wash house	Hot showers in a wash house 1 For all facilities you feel are essential to have at a Girl Scout camp property	Hot showers in a wash house 2 For all facilities that would be nice, but not essential	Hot showers in a wash house 3 For all facilities that you think are not needed
Kitchen shelters/pavilions at every living unit	Kitchen shelters/pavilions at every living unit 1 For all facilities you feel are essential to have at a Girl Scout camp property	Kitchen shelters/pavilions at every living unit 2 For all facilities that would be nice, but not essential	Kitchen shelters/pavilions at every living unit 3 For all facilities that you think are not needed
Large group pavilion	Large group pavilion 1 For all facilities you feel are essential to have at a Girl Scout camp property	Large group pavilion 2 For all facilities that would be nice, but not essential	Large group pavilion 3 For all facilities that you think are not needed
Lodge(holds 12-24 people in 2 or more rooms)	Lodge(holds 12-24 people in 2 or more rooms) 1 For all facilities you feel are essential to have at a Girl Scout camp property	Lodge(holds 12-24 people in 2 or more rooms) 2 For all facilities that would be nice, but not essential	Lodge(holds 12-24 people in 2 or more rooms) 3 For all facilities that you think are not needed
Math/Science Center	Math/Science Center 1 For all facilities you feel are essential to have at a Girl Scout camp property	Math/Science Center 2 For all facilities that would be nice, but not essential	Math/Science Center 3 For all facilities that you think are not needed
Nature Center	Nature Center 1 For all facilities you feel are essential to have at a Girl Scout camp property	Nature Center 2 For all facilities that would be nice, but not essential	Nature Center 3 For all facilities that you think are not needed
Picnic tables at every living unit	Picnic tables at every living unit 1 For all facilities you feel are essential to have at a Girl Scout camp property	Picnic tables at every living unit 2 For all facilities that would be nice, but not essential	Picnic tables at every living unit 3 For all facilities that you think are not needed
Pit Latrines	Pit Latrines 1 For all facilities you feel are essential to have at a Girl Scout camp property	Pit Latrines 2 For all facilities that would be nice, but not essential	Pit Latrines 3 For all facilities that you think are not needed
Platform tents	Platform tents 1 For all facilities you feel are essential to have at a Girl Scout camp property	Platform tents 2 For all facilities that would be nice, but not essential	Platform tents 3 For all facilities that you think are not needed
Pool	Pool 1 For all facilities you feel are essential to have at a Girl Scout camp property	Pool 2 For all facilities that would be nice, but not essential	Pool 3 For all facilities that you think are not needed
Refrigerators at every living unit	Refrigerators at every living unit 1 For all facilities you feel are essential to have at a Girl Scout camp property	Refrigerators at every living unit 2 For all facilities that would be nice, but not essential	Refrigerators at every living unit 3 For all facilities that you think are not needed
River/Lake/Pond	River/Lake/Pond 1 For all facilities you feel are essential to have at a Girl Scout camp property	River/Lake/Pond 2 For all facilities that would be nice, but not essential	River/Lake/Pond 3 For all facilities that you think are not needed
Tree houses	Tree houses 1 For all facilities you feel are essential to have at a Girl Scout camp property	Tree houses 2 For all facilities that would be nice, but not essential	Tree houses 3 For all facilities that you think are not needed
Yurts(round canvas tent with hard floor and doors/windows)	Yurts(round canvas tent with hard floor and doors/windows) 1 For all facilities you feel are essential to have at a Girl Scout camp property	Yurts(round canvas tent with hard floor and doors/windows) 2 For all facilities that would be nice, but not essential	Yurts(round canvas tent with hard floor and doors/windows) 3 For all facilities that you think are not needed

Other (please specify)

10. Please check all of the following program options you would want available, and the fee you would be willing to pay.

	Free	$1-$2 per girl	$2-$4 per girl	$5-$7 per girl	$8-$10 per girl	$10-$12 per girl	$12-$15 per girl
Camping equipment rental (backpack, tents,camping stoves)	*Please check all of the following program options you would want available, and the fee you would be willing to pay. Camping equipment rental (backpack, tents,camping stoves) Free	Camping equipment rental (backpack, tents,camping stoves) $1-$2 per girl	Camping equipment rental (backpack, tents,camping stoves) $2-$4 per girl	Camping equipment rental (backpack, tents,camping stoves) $5-$7 per girl	Camping equipment rental (backpack, tents,camping stoves) $8-$10 per girl	Camping equipment rental (backpack, tents,camping stoves) $10-$12 per girl	Camping equipment rental (backpack, tents,camping stoves) $12-$15 per girl
Canoeing/Sailing. Kayaking with provided instructor and lifeguard for 2 hours.	Canoeing/Sailing. Kayaking with provided instructor and lifeguard for 2 hours. Free	Canoeing/Sailing. Kayaking with provided instructor and lifeguard for 2 hours. $1-$2 per girl	Canoeing/Sailing. Kayaking with provided instructor and lifeguard for 2 hours. $2-$4 per girl	Canoeing/Sailing. Kayaking with provided instructor and lifeguard for 2 hours. $5-$7 per girl	Canoeing/Sailing. Kayaking with provided instructor and lifeguard for 2 hours. $8-$10 per girl	Canoeing/Sailing. Kayaking with provided instructor and lifeguard for 2 hours. $10-$12 per girl	Canoeing/Sailing. Kayaking with provided instructor and lifeguard for 2 hours. $12-$15 per girl
Fine arts instruction and materials for 2 hours (painting, drawing, sculpting, calligraphy,etc.)	Fine arts instruction and materials for 2 hours (painting, drawing, sculpting, calligraphy,etc.) Free	Fine arts instruction and materials for 2 hours (painting, drawing, sculpting, calligraphy,etc.) $1-$2 per girl	Fine arts instruction and materials for 2 hours (painting, drawing, sculpting, calligraphy,etc.) $2-$4 per girl	Fine arts instruction and materials for 2 hours (painting, drawing, sculpting, calligraphy,etc.) $5-$7 per girl	Fine arts instruction and materials for 2 hours (painting, drawing, sculpting, calligraphy,etc.) $8-$10 per girl	Fine arts instruction and materials for 2 hours (painting, drawing, sculpting, calligraphy,etc.) $10-$12 per girl	Fine arts instruction and materials for 2 hours (painting, drawing, sculpting, calligraphy,etc.) $12-$15 per girl
Horseback riding instruction/trail ride with provided instructor for 2 hours.	Horseback riding instruction/trail ride with provided instructor for 2 hours. Free	Horseback riding instruction/trail ride with provided instructor for 2 hours. $1-$2 per girl	Horseback riding instruction/trail ride with provided instructor for 2 hours. $2-$4 per girl	Horseback riding instruction/trail ride with provided instructor for 2 hours. $5-$7 per girl	Horseback riding instruction/trail ride with provided instructor for 2 hours. $8-$10 per girl	Horseback riding instruction/trail ride with provided instructor for 2 hours. $10-$12 per girl	Horseback riding instruction/trail ride with provided instructor for 2 hours. $12-$15 per girl
Nature center instruction and materials for 2 hours (hiking, pond studies, habitat games, study/animal study/tracking, flower/tree/insect identification and study, air quality/water quality monitoring, etc.)	Nature center instruction and materials for 2 hours (hiking, pond studies, habitat games, study/animal study/tracking, flower/tree/insect identification and study, air quality/water quality monitoring, etc.) Free	Nature center instruction and materials for 2 hours (hiking, pond studies, habitat games, study/animal study/tracking, flower/tree/insect identification and study, air quality/water quality monitoring, etc.) $1-$2 per girl	Nature center instruction and materials for 2 hours (hiking, pond studies, habitat games, study/animal study/tracking, flower/tree/insect identification and study, air quality/water quality monitoring, etc.) $2-$4 per girl	Nature center instruction and materials for 2 hours (hiking, pond studies, habitat games, study/animal study/tracking, flower/tree/insect identification and study, air quality/water quality monitoring, etc.) $5-$7 per girl	Nature center instruction and materials for 2 hours (hiking, pond studies, habitat games, study/animal study/tracking, flower/tree/insect identification and study, air quality/water quality monitoring, etc.) $8-$10 per girl	Nature center instruction and materials for 2 hours (hiking, pond studies, habitat games, study/animal study/tracking, flower/tree/insect identification and study, air quality/water quality monitoring, etc.) $10-$12 per girl	Nature center instruction and materials for 2 hours (hiking, pond studies, habitat games, study/animal study/tracking, flower/tree/insect identification and study, air quality/water quality monitoring, etc.) $12-$15 per girl
Pioneer crafts instruction and materials for 2 hours.(pottery,weaving,candlemaking,canning,candymaking, etc.)	Pioneer crafts instruction and materials for 2 hours.(pottery,weaving,candlemaking,canning,candymaking, etc.) Free	Pioneer crafts instruction and materials for 2 hours.(pottery,weaving,candlemaking,canning,candymaking, etc.) $1-$2 per girl	Pioneer crafts instruction and materials for 2 hours.(pottery,weaving,candlemaking,canning,candymaking, etc.) $2-$4 per girl	Pioneer crafts instruction and materials for 2 hours.(pottery,weaving,candlemaking,canning,candymaking, etc.) $5-$7 per girl	Pioneer crafts instruction and materials for 2 hours.(pottery,weaving,candlemaking,canning,candymaking, etc.) $8-$10 per girl	Pioneer crafts instruction and materials for 2 hours.(pottery,weaving,candlemaking,canning,candymaking, etc.) $10-$12 per girl	Pioneer crafts instruction and materials for 2 hours.(pottery,weaving,candlemaking,canning,candymaking, etc.) $12-$15 per girl
Prepared meals - Breakfast	Prepared meals - Breakfast Free	Prepared meals - Breakfast $1-$2 per girl	Prepared meals - Breakfast $2-$4 per girl	Prepared meals - Breakfast $5-$7 per girl	Prepared meals - Breakfast $8-$10 per girl	Prepared meals - Breakfast $10-$12 per girl	Prepared meals - Breakfast $12-$15 per girl
Prepared meals - Dinner	Prepared meals - Dinner Free	Prepared meals - Dinner $1-$2 per girl	Prepared meals - Dinner $2-$4 per girl	Prepared meals - Dinner $5-$7 per girl	Prepared meals - Dinner $8-$10 per girl	Prepared meals - Dinner $10-$12 per girl	Prepared meals - Dinner $12-$15 per girl
Prepared meals - Lunch	Prepared meals - Lunch Free	Prepared meals - Lunch $1-$2 per girl	Prepared meals - Lunch $2-$4 per girl	Prepared meals - Lunch $5-$7 per girl	Prepared meals - Lunch $8-$10 per girl	Prepared meals - Lunch $10-$12 per girl	Prepared meals - Lunch $12-$15 per girl
Science instruction and materials for 2 hours	Science instruction and materials for 2 hours Free	Science instruction and materials for 2 hours $1-$2 per girl	Science instruction and materials for 2 hours $2-$4 per girl	Science instruction and materials for 2 hours $5-$7 per girl	Science instruction and materials for 2 hours $8-$10 per girl	Science instruction and materials for 2 hours $10-$12 per girl	Science instruction and materials for 2 hours $12-$15 per girl
Sports equipment rental (skates, skis, golf clubs and balls, tennis rackets and balls,sleds)	Sports equipment rental (skates, skis, golf clubs and balls, tennis rackets and balls,sleds) Free	Sports equipment rental (skates, skis, golf clubs and balls, tennis rackets and balls,sleds) $1-$2 per girl	Sports equipment rental (skates, skis, golf clubs and balls, tennis rackets and balls,sleds) $2-$4 per girl	Sports equipment rental (skates, skis, golf clubs and balls, tennis rackets and balls,sleds) $5-$7 per girl	Sports equipment rental (skates, skis, golf clubs and balls, tennis rackets and balls,sleds) $8-$10 per girl	Sports equipment rental (skates, skis, golf clubs and balls, tennis rackets and balls,sleds) $10-$12 per girl	Sports equipment rental (skates, skis, golf clubs and balls, tennis rackets and balls,sleds) $12-$15 per girl
Swimming with provided Lifeguard for 2 hours.	Swimming with provided Lifeguard for 2 hours. Free	Swimming with provided Lifeguard for 2 hours. $1-$2 per girl	Swimming with provided Lifeguard for 2 hours. $2-$4 per girl	Swimming with provided Lifeguard for 2 hours. $5-$7 per girl	Swimming with provided Lifeguard for 2 hours. $8-$10 per girl	Swimming with provided Lifeguard for 2 hours. $10-$12 per girl	Swimming with provided Lifeguard for 2 hours. $12-$15 per girl

Other (please specify)