Recreation Program Feedback Survey Question Title * 1. How many people currently live in your household? One person Two people Three people Four people Five people Six or more people Question Title * 2. Please indicate the total number of persons within your household that fall into the following age categories. # in Age Category Under 10 years 1 2 3 4 5 or more Under 10 years # in Age Category menu 10 - 19 years 1 2 3 4 5 or more 10 - 19 years # in Age Category menu 20 - 34 years 1 2 3 4 5 or more 20 - 34 years # in Age Category menu 35 - 54 years 1 2 3 4 5 or more 35 - 54 years # in Age Category menu 55- 69 years 1 2 3 4 5 or more 55- 69 years # in Age Category menu 70 years and over 1 2 3 4 5 or more 70 years and over # in Age Category menu Question Title * 3. What City recreation programs does your household primarily participate in? (Check all that apply) Drop in Sports (at schools or Access Event Centre) Youth Badminton Swimming Lessons Cooking classes at Morden Activity Centre $5 Stick and Puck After School- Art Attack Red Cross Courses (Stay Safe, Babysitting, First Aid) Fitness Classes at Access Event Centre Youth Basketball Public Skating Rec Hockey Other (please specify) Question Title * 4. Are you and members of your household able to participate in active recreation activities (e.g. sports, physical wellness, outdoor play, etc.), as often as you would like? Yes No Next