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* 1. Date

Date

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* 2. Postal Code

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* 3. Where do you reside? Please select the option that most accurately describes you.

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* 4. Please select the age range that best describes you.

WELLINGTON NORTH RECREATION FACILITIES AND PROGRAMS

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* 5. In the past year, how often have you rented rooms (e.g. birthday parties, meetings, showers) or sports fields / pavilions at Wellington North recreation facilities?

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* 6. Which recreation facilities do you primarily utilize? Please select all that apply.

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* 7. On a scale of 1 to 5, how satisfied are you with the condition and availability of recreation facilities in Wellington North? (1 = very dissatisfied, 5 =very satisfied)

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* 8. Please provide a reason for your rating:

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* 9. In the past year, how often have you attended programming at Wellington North recreation facilities?

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* 10. In the past year, which recreation programs have you or a family member participated in? Please select all that apply.

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* 11. On a scale of 1 to 5, how satisfied are you with the current program offerings in Wellington North? (1= very dissatisfied, 5 = very satisfied)

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* 12. Please provide a reason for your rating:

MOUNT FOREST COMMUNITY CENTRE (320 King Street East)

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* 13. How do you think the Township should proceed with the ownership and management of the Mount Forest Community Centre (320 King Street East). If you would like to see more than one option, please select "Other" and state your choices.

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* 14. In the past year, have you rented the Mount Forest Community Centre (320 King Street East) for a private event or participated in its programming? (e.g. Summer Day Camp, Pickleball)

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* 15. How comfortable are you with municipal tax dollars being invested in the Mount Forest Community Centre (320 King Street East) for capital upgrades?

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* 16. How comfortable are you with municipal tax dollars being invested in the Mount Forest Community Centre (320 King Street East) for operating costs?

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* 17. What is your vision for the future of the Mount Forest Community Centre and what improvements would you like to see?

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* 18. How do you prefer to receive information about Wellington North Recreation Programs, events and facilities? Please select all that apply.

GENERAL

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* 19. Please share any other concerns or comments.

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* 20. If you would like to be contacted, please leave your email address or phone number.

Thank you for participating in the Mount Forest Community Centre Open House and Survey. The results will be analyzed and presented to the Township of Wellington North Council at a later date.

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