* 1. How many people currently live in your household?

* 2. Please indicate the total number of persons within your household that fall into the following age categories.

  # In Age Category
Under 10 years
10 - 19 years
20 - 34 years
35 - 54 years
55 - 69 years
70 years and over

* 3. In the past 12 months, which of the following activities have you or anyone in your household participated in, in the Township of Chatsworth or elsewhere.  By participation, we mean situations where you or a member of your household actively participate, either at home or in public.

* 4. What parks, recreation and culture activities does your household primarily participate in?  (Select up to three responses.)

* 5. Are you and members of your household able to participate in active recreation activities (e.g. sports, physical wellness, outdoor play, etc.), as often as you would like?

* 6. If you answered "No" to number 5 above, why are you and members of your household not able to participate in active recreation pursuits as often as you would like?  Check all that apply.

* 7. List the top five activities you or members of your household participate in outside of the Township.

* 8. Are there any parks, recreation or culture activities that you or members of your household would like to see offered in the Township of Chatsworth that are not currently available?  List as many as you would like.

* 9. On a scale of 1 - 5, with five being the most important, in general how important are the following activities to your household?

  1 2 3 4 5
Indoor Arenas
Community Halls
Indoor Walking Track
Ball Diamonds
Soccer Fields
Playgrounds
Pavillions
Trails
Green space or passive parks that preserve natural areas and open spaces
Arts & culture facilities such as theatres, historic sights, visual and perfomrmng arts spaces

* 10. Thinking about those facilities that currently exist in the Township of Chatsworth, what is your level of satisfaction with the following:

  Unsatisfied Somewhat Satisfied Satisfied Very Satisfied N/A
Indoor recreation facilities
Outdoor recreation facilities
Passive Parks that preserve natural areas
Arts and Culture Facilities

* 11. What is your level of satisfaction with the parks, recreation and cultural activities in the Township for the following age groups.

  Unsatisfied Somewhat Satisfied Satisfied Very Satisfied N/A
Children (0 - 12 years)
Teens (13 - 18 years)
Adults (19 - 54 years)
Older Adults (55 - 69 years)
Seniors (70+)

* 12. To what degree do you oppose or support the Township spending additional public funds on developing new or improving existing facility types?

  Strongly Oppose Oppose Maintain Current Spending Support Additional/New Funds being spent
Parks and Open Space (including playgrounds)
Unpaved Nature Trails
Paved Trails (cycling, walking)
Playgrounds
Space for Youth Programs
Fitness Centres
Baseball or Softball Diamonds
Arenas (ice pads)
Soccer Fields
Splash Pads
Indoor Swimming Pool
Outdoor Swimming Pool
Tennis Courts
Indoor Walking Track
Community Halls and Multi-Purpose Rooms
Space for Older Adult Programs (low-impact fitness, shuffle board, cards, etc.)
Community Allotment Gardens
Off-Leash Dog Parks
Skateboard Parks
Visual or Performing Arts Space

* 13. Please indicate your level of agreement with the following statements:

  Strongly Disagree Somewhat Disagree Somewhat agree Agree Strongly Agree
My household is generally satisfied with the geographic distribution of parks and recreation facilities in the Township of Chatsworth.
The Township's parks are generally well maintained.
The Township's indoor recreation facilities are well maintained.
The Township should consider alternate uses for community facilities to maximize use.
Parks and Recreation Facilities should be a high priority for Council.
Parks and Recreation Programming should be a high priority for Council.
Arts and Culture opportunities should be a high priority for Council.

* 14. Please provide any additional comments you may have regarding recreation facilities in the Township of Chatsworth.

* 15. I am a resident of the Township of Chatsworth.

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