New Town Physical Activity Access Survey

Question Title

* 1. Are you a current resident of New Town/ North Segment?

Yes

Question Title

* 2. Age:

18-24 years

25-44 years

45-60 years

61 years and older

Question Title

* 3. Gender:

Male

Female

Other

Question Title

* 4. Do you use the walking path in the community? (Check one)

Multiple times per day

Daily

Weekly

Monthly

Never

Question Title

* 5. Which of these facilities have you used? (Check All that Apply)

Outdoor Walking Path

Outdoor Track

Northern Lights Fitness Area

Northern Lights Gym

Diabetes Center Fitness Area

City Pool/Splashpad

Healing Horse Ranch

Golf Course

Rodeo Grounds

Baseball/Softball Diamonds

None

Question Title

* 6. How often do you use the facilities listed above? (Check One)

Multiple times per day

Daily

Weekly

Monthly

Never

Question Title

* 7. What are the main uses of the facilities for you? (Check All that Apply)

Access within the community: store, school, community building, etc.

Exercise

Recreation

Healthy Lifestyle changes

Social Interaction

Other (please specify)

Question Title

* 8. Are you satisfied with the facilities in your community? (Check One)

Yes

Question Title

* 9. How often do you participate in physical activities (walking, running, biking, gym, sports, etc.)?

Once a week

2-3 times a week

4-5 times a week

6+ times a week

Never

New Town Physical Activity Access Survey

Question Title

* 1. Are you a current resident of New Town/ North Segment?

Question Title

* 2. Age:

Question Title

* 3. Gender:

Question Title

* 4. Do you use the walking path in the community? (Check one)

Question Title

* 5. Which of these facilities have you used? (Check All that Apply)

Question Title

* 6. How often do you use the facilities listed above? (Check One)

Question Title

* 7. What are the main uses of the facilities for you? (Check All that Apply)

Question Title

* 8. Are you satisfied with the facilities in your community? (Check One)

Question Title

* 9. How often do you participate in physical activities (walking, running, biking, gym, sports, etc.)?

Question Title

* 10. What suggestions do you have to improve access to physical activity in the New Town Community?