City of Mineola Active Living Survey Question Title * 1. What types of physical activity would you like to see in Mineola? (check all that apply) More walking trails in town Bike trails and/or bike lanes Playgrounds/outdoor courts Workout stations at public parks Organized adult sport leagues Open play spaces (kite flying, pick up football/soccer games, frisbee,etc.) Other (please specify) OK Question Title * 2. Where do you go most often for physical activity? (check all that apply) Mineola Nature Preserve Mineola Civic Center Mineola Youth Foundation Park Mineola Nature Trail (by school) Paid gym or workout facility Other (please specify) OK Question Title * 3. If your employer offered access to a wellness program, would you participate? Very likely Likely Neither likely nor unlikely Unlikely Very unlikely OK Question Title * 4. How important do you think it is for your place of employment to offer a worksite wellness program? (check one) Extremely important Very important Somewhat important Not so important Not at all important OK Question Title * 5. How often do you visit the public parks in Mineola? Every day A few times a week About once a week A few times a month Once a month Less than six times a year OK Question Title * 6. Do you currently live in....(check one) Mineola city limits Mineola ISD Other OK Question Title * 7. Looking at the map below, which zone best reflects your address? Zone 1 (West of Hwy 69 and North of Hwy 80) Zone 2 (East of Hwy 69 and North of Hwy 80) Zone 3 (West of Hwy 69 and South of Hwy 80) Zone 4 (East of Hwy 69 and South of Hwy 80) Outside the City limits of Mineola OK Question Title * 8. Map of Mineola 3 OK Question Title * 9. How many people currently live in your household? OK Question Title * 10. What are their ages? (check all that apply) Under 18 18-24 25-34 35-44 45-54 55-64 65+ OK Question Title * 11. If you would like more information on Active Living, please leave your email address. OK DONE