1. Pipestone Active Living Partnership Community Survey

The Pipestone Active Living partnership is interested in your opinions and suggestions about health and fitness issues facing the community. We want to understand your needs so we can target projects and programs to suit those needs. All individual responses will be held strictly confidential; only general data will be reported. Thank-you for your help in making Pipestone an Active Living Community.

1. What is your age?

2. What is your Gender?

3. Do you have a physical disability?

4. What is your family status?

5. What language do you speak most often at home?

6. What is your ethnic background?

7. Do you work in the city of Pipestone?

8. What town or township do you live in?

9. If you live in the city of Pipestone, what street do you live on?