Pool Survey Please take a few minutes to provide us with your feedback. Thank you! Question Title * 1. What pool did your child attend Erb Mead Question Title * 2. What is your age? 20 & under 21 to 40 41 to 60 61 & over Question Title * 3. What is your gender? Male Female Question Title * 4. Are you a City of Appleton resident? Yes No Question Title * 5. How far do you travel to get to this Pool? 0 to 5 blocks 6 to 10 blocks 11-20 blocks Over 20 blocks Question Title * 6. If any, what are the ages of the children in your household? (Check all that apply) 0-5 years 6-10 years 11-15 years 16-18 years N/A Question Title * 7. How often do you use this Pool? Daily Weekly Monthly Occasionally Rarely Question Title * 8. In general, do you come alone or with others? Alone With others Question Title * 9. Why do you visit the Park? Children playtime Exercise Learning to swim for the first time Other (please specify) Question Title * 10. Do you visit this Pool as part of your exercise or health fitness routine? Often Sometimes Never No Opinion Question Title * 11. Have you or your children ever participated in an event or organized program in this Pool? Often Sometimes Never No Programs Offered Add events/programs here. Question Title * 12. Please rate the condition of the Pool equipment. Good Fair Poor N/A Question Title * 13. Is there enough space at this Pool for your activities? Enough space Too Crowded Question Title * 14. Is this Pool normally clean? Often Sometimes Never No Opinion Question Title * 15. Do you use the bathrooms/changing rooms at this Pool? Often Sometimes Never N/A Question Title * 16. Please rate the bathroom at this Pool? Good Fair Poor N/A Question Title * 17. Do you feel safe at this Pool? Often Sometimes Never No Opinion Question Title * 18. Have you ever met Pool/Park staff on site while you were there? Often Sometimes Never No Opinion Question Title * 19. Is staff friendly? Friendly Not Friendly No Contact N/A Question Title * 20. What are your priorities for this Pool? (Check all that apply.) Available parks staff/life guards Bathrooms/changing rooms Benches/tables (picnic areas) Benches/Tables Concessions Diving boards Equipment Cleaning/litter removal Drinking fountains Handicapped access More Trash Cans Lighting Signage Security Other (please specify) Question Title * 21. Of the priorities checked above, which one is your top priority? Available parks staff/life guards Bathrooms/changing rooms Benches/tables (picnic areas) Benches/Tables Concessions Diving boards Equipment Cleaning/litter removal Drinking fountains Handicapped access More Trash Cans Lighting Signage Security Other (please specify) Question Title * 22. What is your overall opinion of the City of Appleton's Pools? Excellent Very Good Good Fair Poor No Opinion Question Title * 23. Please note any ideas for improvement to Pool features, services, or programming. Question Title * 24. Please share your email address if you choose. Done
