Healthy Places Survey

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* 1. Optional: First Name

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* 2. Optional: Phone Number

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* 3. Optional: Email

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* 4. Do you live in Commerce City?

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* 5. What is your age range?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 6. What is your gender?

Male

Female

Prefer not to answer

Other (please specify)

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* 7. What is your ethnicity?

White

Hispanic / Latino

Black or African American

Native American or American Indian

Asian / Pacific Islander

Prefer not to answer

Other (please specify)

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* 8. How often do you visit parks in the community?

Every week

Once a month

A few times per year

Not often

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* 9. What activities, listed below, does your family participate in while visiting Commerce City parks?

Picnics

Celebrating birthdays/holidays

Attending an event

Playground for kids

Other (please specify)

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* 10. What prevents you and your family from visiting Commerce City parks more often? Please explain:

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* 11. How do you find out about the park and recreation programs and services offered by Commerce City?

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* 12. What prevents you and your family from participating in programs and services offered by Commerce City Parks, Recreation and Golf?

Cost

Lack of staff that speak my language

Distance

Hours of programming

Lack of programs in my language

Other (please specify)

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* 13. What types of services or programs would you like your local recreation center to offer? Please explain:

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* 14. How safe do you feel in your neighborhood?

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* 15. Does this level of safety prevent you from participating in recreational activities?

Yes

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* 16. What would help create a safer environment for you to participate in recreational activities? Please explain:

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* 17. What is your opinion regarding crime in your community? Has it increased, decreased, or remains the same? Please explain your answer:

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* 18. In your opinion, what are the three issues that currently affect your community? (i.e., theft, graffiti, etc.)

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* 19. How do you feel about calling the Commerce City Police Department if you have a concern? Please explain.

Comfortable

Uncomfortable because...

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* 20. Anything else you’d like to add about parks, recreation or safety in your community?

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* 21. May we contact you in the future to participate in further research about these topics?

Yes