Helendale Community Park Question Title * 1. Please answer the following questions to help us plan and design the Helendale Community Park!The Helendale Community park is funded through revenue generated at the CSD's Thrift Store and through grants. Your water and sewer fees do not fund the park or any park and recreation programs. Name: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Country: Email Address: Phone Number: Question Title * 2. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older Question Title * 3. How many children, by age, currently live in your household? Less than 1 year old 1 year old 2 years old 3 years old 4 years old 5 years old 6 years old 7 years old 8 years old 9 years old 10 years old 11 years old 12 years old 13 years old 14 years old 15 years old 16 years old 17 years old 18 years old or older Question Title * 4. How often would you and or your family use this recreational facility? Daily Weekly Monthly Occasionally Rarely Question Title * 5. What time would you most likely use the park? Early morning (5 a.m. - 9 a.m.) Morning (9 a.m. - 12 a.m.) Afternoon (12 p.m. - 5 p.m.) Evening (5 p.m. - 9 p.m.) Question Title * 6. (Choose all that apply) Monday Tuesday Wednesday Thursday Friday Saturday Sunday Question Title * 7. Which of the following elements would you like to see in this park? (Please select all that apply) Playground Concession Stand Fitness trails/equipment Soccer Fields Baseball Feild Football Field Paved trails Dirt trails Dog Park Skate Park Basketball court Tennis court Restroom Picnic shelters/pavillions/performance area Picnic benches Meeting/reception/banquet faciltiy Barbeque Grills Horse shoe pits Water Fountains Other (please specify) Done