The Bullitt County Coalition for Recreation, Education, and Wellness (CREW) needs your help to find what barriers exist in our community that limits physical activity. Please take a moment to complete this survey. Your information will help us work towards future programs, grant funding, and special projects to improve the health of Bullitt County.

What prevents you from exercising as much as you would like? (Select your top 3)

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* 1. What prevents you from exercising as much as you would like? (Select your top 3)

What would you like to see Bullitt County do to address the issues you marked above?

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* 2. What would you like to see Bullitt County do to address the issues you marked above?

Bullitt County offers opportunities for the community to engage in physical activity. Mark all that you use.

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* 3. Bullitt County offers opportunities for the community to engage in physical activity. Mark all that you use.

What zip code do you currently live in?

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* 4. What zip code do you currently live in?

What is your age?

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* 5. What is your age?

What is your gender?

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* 6. What is your gender?

(OPTIONAL) To be entered into a drawing for a $20 Walmart gift card you must answer all questions on the survey. Please provide your name, email address, and/or phone number below.

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* 7. (OPTIONAL) To be entered into a drawing for a $20 Walmart gift card you must answer all questions on the survey. Please provide your name, email address, and/or phone number below.

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