The Southern Maryland SportPlex & Learning Center Community Survey
www.smsplc.org/homepage

1. Questionnaire

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We are considering the development of capabilities in Southern Maryland (Charles County and Southern Prince George County) to provide for youth sports activities, adult wellness/physical fitness training, youth and adult education and year-round entertainment. To properly develop a plan we request your assistance in helping us understand your interests and needs. We look forward to the opportunity to serve you and would appreciate your comments so we can continuously strive to improve our programs, services, and facility offerings. Your communication is vital to our ongoing efforts to exceed expectations and provide the finest health and fitness capability in our region.

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1. What is your gender?

What is your gender? Male

Female

2. How old are you?

How old are you?

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3. How many members are in your household?

How many members are in your household?

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4. How many years have you lived in Southern Maryland?

How many years have you lived in Southern Maryland?

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5. In which county do you reside?

In which county do you reside? Charles

Prince George

Other (please specify)

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6. What type of sports or capabilities would most interest you?

	First Priority	Second Priority	Third Priority	Fourth Priority	N/A
Youth Sports Activities	*What type of sports or capabilities would most interest you? Youth Sports Activities First Priority	Youth Sports Activities Second Priority	Youth Sports Activities Third Priority	Youth Sports Activities Fourth Priority	Youth Sports Activities N/A
Adult Wellness/Physical Fitness	Adult Wellness/Physical Fitness First Priority	Adult Wellness/Physical Fitness Second Priority	Adult Wellness/Physical Fitness Third Priority	Adult Wellness/Physical Fitness Fourth Priority	Adult Wellness/Physical Fitness N/A
Training	Training First Priority	Training Second Priority	Training Third Priority	Training Fourth Priority	Training N/A
Youth and Adult Self-Education	Youth and Adult Self-Education First Priority	Youth and Adult Self-Education Second Priority	Youth and Adult Self-Education Third Priority	Youth and Adult Self-Education Fourth Priority	Youth and Adult Self-Education N/A
Year-round entertainment	Year-round entertainment First Priority	Year-round entertainment Second Priority	Year-round entertainment Third Priority	Year-round entertainment Fourth Priority	Year-round entertainment N/A

What else would you include that is not listed?

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7. How likely would you be willing to drive to use a facility that meets the priorities listed above?

	Not Likely	Somewhat Likely	Very Likely
5 minutes	*How likely would you be willing to drive to use a facility that meets the priorities listed above? 5 minutes Not Likely	5 minutes Somewhat Likely	5 minutes Very Likely
15 minutes	15 minutes Not Likely	15 minutes Somewhat Likely	15 minutes Very Likely
30 minutes	30 minutes Not Likely	30 minutes Somewhat Likely	30 minutes Very Likely
45 minutes	45 minutes Not Likely	45 minutes Somewhat Likely	45 minutes Very Likely
1 hour or more	1 hour or more Not Likely	1 hour or more Somewhat Likely	1 hour or more Very Likely

Would you prefer satellite facilities throughout the County or a standalone one?

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8. How much would you be willing to pay for a single individual in your family (or a single person) to use such a facility?

How much would you be willing to pay for a single individual in your family (or a single person) to use such a facility? $40 per Month

$50 per Month

$60 per Month

$70 per Month

$80 per Month

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9. How much would you be willing to pay for a family membership to use such a facility?

How much would you be willing to pay for a family membership to use such a facility? $70 per Month

$80 per Month

$90 per Month

$100 per Month

$110 per Month

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10. Please check all wellness issues that you deem important.

	Heart Disease	High Blood Pressure	Alcohol Consumption	Smoking	Stress	Nutrition Deficiency	Weight Fluctuation	Carpel Tunnel	Bone&Joint pain	Flexibility Issues	Diabetes	Foot Problems	Injury
Past	*Please check all wellness issues that you deem important. Past Heart Disease	Past High Blood Pressure	Past Alcohol Consumption	Past Smoking	Past Stress	Past Nutrition Deficiency	Past Weight Fluctuation	Past Carpel Tunnel	Past Bone&Joint pain	Past Flexibility Issues	Past Diabetes	Past Foot Problems	Past Injury
Current	Current Heart Disease	Current High Blood Pressure	Current Alcohol Consumption	Current Smoking	Current Stress	Current Nutrition Deficiency	Current Weight Fluctuation	Current Carpel Tunnel	Current Bone&Joint pain	Current Flexibility Issues	Current Diabetes	Current Foot Problems	Current Injury
Genetic	Genetic Heart Disease	Genetic High Blood Pressure	Genetic Alcohol Consumption	Genetic Smoking	Genetic Stress	Genetic Nutrition Deficiency	Genetic Weight Fluctuation	Genetic Carpel Tunnel	Genetic Bone&Joint pain	Genetic Flexibility Issues	Genetic Diabetes	Genetic Foot Problems	Genetic Injury

Other (please specify)

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The Southern Maryland SportPlex & Learning Center Community Surveywww.smsplc.org/homepage

1. Questionnaire

*1. What is your gender?

2. How old are you?

*3. How many members are in your household?

*4. How many years have you lived in Southern Maryland?

*5. In which county do you reside?

*6. What type of sports or capabilities would most interest you?

*7. How likely would you be willing to drive to use a facility that meets the priorities listed above?

*8. How much would you be willing to pay for a single individual in your family (or a single person) to use such a facility?

*9. How much would you be willing to pay for a family membership to use such a facility?

*10. Please check all wellness issues that you deem important.