1.Are you a resident of the City of Upland?

Yes

No

2.Including yourself, how many people in your household are...

Under age 5:

Ages 5-9:

Ages 10-14:

Ages 15-19:

Ages 20-24:

Ages 25-34:

Ages 35-44:

Ages 45-54:

Ages 55-64:

Ages 65-74:

Ages 75+

3.Have you or any member of your household visited any City of Upland parks and/or recreation facilities during the past 12 months?

Yes

No