* 1. In which neighborhood do you live?

* 2. How many persons within each of the age categories are living in your household?

* 3. Which of the following best describes the race of the members of your household? Check all that apply.

* 4. Rank the importance of each of the parks and facilities with one (1) being the least important and five (5) being the most important.

  1 2 3 4 5
Beach Park Event Center
Des Moines Activity Center
Des Moines Field House
Des Moines Beach Park
Des Moines Creek Trail
Marina/Fishing Pier
Redondo Beach/Boardwalk
Saltwater State Park
Des Moines Field House Park
Steven Underwood Park
Zenith Park
Big Catch Plaza
Dr. Shirley Gordon Park
Kiddy Park
Midway Park
Overlook Park
Parkside Park
South Marina Park
Water Tower Park
Westwood Park
Wooton Park

* 5. Have any members of your household visited any of the City of Des Moines parks or recreation facilities listed above during the last year?

* 6. Rate your satisfaction with the above list of parks and facilities.

* 7. Rank the importance of the following improvement options, with one (1) being the least important and five (5) being the most important.

  1 2 3 4 5
Purchase land for future parks, trails and open space preservation
Build more parks that include play/exercise equipment, sports court, picnic shelter
Build more sports fields for softball, soccer, football, baseball
Build more walking and biking trails to connect neighborhoods, parks and schools
Build a Spray Park play area
Build a Skate or Bike Park
Build a community center with a gym, fitness and meeting rooms
Expand Des Moines Senior Activity Center with a gym, fitness and meeting rooms
Renovate existing parks and play/exercise equipment areas
Renovate existing historical facilities (Field House, Beach Park buildings)
Improve streetscapes with way finding signage, street banners and flowers
Many of the City’s parks and recreation facilities are aging and will require life and safety and/or public access renovations within the next six to ten years for continued use. Check any of the following funding options that you would support.

* 8. I would support a Bond or Levy to:

* 9. I would support parking or user fees to:

* 10. Funding Option Comments

* 11. Rank the importance of recreation activities to the community with one (1) being the least important and five (5) being the most important.

  1 2 3 4 5
Arts/Beach Park Concerts
Community Gardening
Enrichment Programs: Preschool
Enrichment Programs: Youth
Enrichment Programs: Adult
Enrichment Programs: Senior
Festivals/Community Events
Fitness/Wellness
Free Summer Lunch Program
Inclusive (Special Needs) Recreation
KHAOS After School & Camps
Martial Arts
Open Gym
Private Facility Rentals
Recreation Scholarships
Sports: Youth
Sports: Adult
Sports: Senior
Technology
Volunteering
Waterfront Sports

* 12. Does any member of your household participate in the recreation activities offered by the City?

* 13. If yes, rate the overall quality of your experience with the above list of recreation programs.

* 14. If no, what are the reasons?

* 15. Rank the importance of each of the listed human services to the community with one (1) being the least important and five (5) being the most important.

  1 2 3 4 5
Childcare Assistance
Clothing Bank
Domestic Violence Support
Early Learning
Emergency/Financial Assistance
Food/Nutrition Assistance
Housing Assistance
Information & Referral
Job Training
Literacy Program
Medical/Dental/Mental Health Care
Parenting Education
Special Needs Programs
Transportation Assistance

* 16. Does anyone in your household benefit from local human services programs?

* 17. Rank the importance of aquatic programs to the community, with one (1) being the least important and five(5) being the most important.

  1 2 3 4 5
Water Safety/Learning to Swim
Lap Swimming
Therapeutic Exercise
Fitness Water Exercise
Playtime
Family Outing
Competitive Water Sports
Private Rental
Special Needs

* 18. Does any member of your household use the Mt. Rainier Pool in Des Moines?

* 19. If no, what are the reasons?

* 20. Rank your responses to the questions below in order of importance to you, with one (1) being the least important and five (5) being the most important. What would you like to see changed about the Mount Rainer Pool?

  1 2 3 4 5
Shallow Pool Added
Separate, Warm Water Pool Added
Move to a Different Location
More Time for Family Recreational Swimming/Playing
Gender Exclusive Swimming Time
More Spacious Locker Rooms
Separated Showers

* 21. What other aquatic facilities should Des Moines have?

  1 2 3 4 5
Spray Park
Water Slide
Therapy (hot) Tub
Lazy River (water resistance walk)
Beachfront (zero) Entry
Meeting/Event Rooms
Dry Land Exercise
Outdoor Social Event Area

* 22. Please provide your contact information and e-mail address to receive the latest program, services, and event news from your Parks, Recreation and Senior Services Department.

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