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* 1. What RECREATION ACTIVITIES do you and other members of your household participate in? Please select or record up to THREE MAIN ACTIVITIES using the list below.

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* 2. If you or other members of your household participate in organised sport with a sports club or school (outside of school hours) please indicate your main sports played. Please select or record up to THREE MAIN SPORTS using the list below.

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* 3. Which TYPES OF OPEN SPACE in the City of Victor Harbor are MOST IMPORTANT to you and other members of your household? Please select up to THREE open space types that are most important.

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* 4. What should the MAIN PRIORITIES BE FOR OPEN SPACE in the City of Victor Harbor? Please select or record up to THREE main priorities below.

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* 5. Which TYPES OF RECREATION AND SPORT FACILITIES are MOST IMPORTANT to you and other members of your household? Please select up to THREE facilities that are most important.

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* 6. What should the MAIN PRIORITIES BE FOR RECREATION AND SPORT FACILITIES in the City of Victor Harbor? Please select or record up to THREE priorities below.

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* 7. What KEY WORDS would you like to see included in an OVERRIDING VISION for Recreation and Open Space in Victor Harbor? Please select or record up to THREE words that you would include using the list below.

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* 8. Do you have any SUGGESTIONS for specific open spaces or sport and recreation facilities? Please record each open space or facility with your suggestions below.

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* 9. Do you have any other comments to make about open space, recreation or sport facilities or community needs? Please provide your comments below

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* 10. Which suburb do you live in? Please record

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* 11. How old are you? Please select one age group

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* 12. What is your Gender? Please select one

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* 13. How many people live in your household? Please record details below

  Number
No. of Adults
No. of children under 5 years
No. of children 5 - 14 years
No. of children or youth 15+ years

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* 14. To keep up to date with the development of the City of Victor Harbor Recreation and Open Space Strategy and other Council news and projects you can subscribe to Victor Viewpoint (Council’s e-newsletter) by providing your email address below.

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