Four Bears Physical Activity Access Survey

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* 1. Are you a current resident of Four Bears Segment?

Yes

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* 2. Age:

18-24 years

25-44 years

45-60 years

61 years and older

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* 3. Gender:

Male

Female

Other

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* 4. Do you use the walking path in the community? (Check one)

Multiple times per day

Daily

Weekly

Monthly

Never

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* 5. Which of these facilities have you used? (Check All that Apply)

Outdoor Walking Path

Johnny Bird Fitness Area

Johnny Bird Gym

Diabetes Center Fitness Area

Four Bears Waterpark

Four Bears Point Outdoor Amenities

None

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* 6. How often do you use the facilities listed above? (Check One)

Multiple times per day

Daily

Weekly

Monthly

Never

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* 7. What are the main uses of the facilities for you? (Check All that Apply)

Access within the community: store, school, community building, etc.

Exercise

Recreation

Healthy Lifestyle changes

Social Interaction

Other (please specify)

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* 8. Are you satisfied with the facilities in your community? (Check One)

Yes

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* 9. How often do you participate in physical activities (walking, running, biking, gym, sports, etc.)?

Once a week

2-3 times a week

4-5 times a week

6+ times a week

Never

Four Bears Physical Activity Access Survey

Question Title

* 1. Are you a current resident of Four Bears Segment?

Question Title

* 2. Age:

Question Title

* 3. Gender:

Question Title

* 4. Do you use the walking path in the community? (Check one)

Question Title

* 5. Which of these facilities have you used? (Check All that Apply)

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* 6. How often do you use the facilities listed above? (Check One)

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* 7. What are the main uses of the facilities for you? (Check All that Apply)

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* 8. Are you satisfied with the facilities in your community? (Check One)

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* 9. How often do you participate in physical activities (walking, running, biking, gym, sports, etc.)?

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* 10. What suggestions do you have to improve access to physical activity in the Four Bears Community?