Physical Activity Opportunities

This survey will be used to assess physical activity opportunities within North Central Kansas. Thank you for participating in our survey. Your feedback is important.

Question Title

* 1. Contact Information

Name

Position

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Do you know of any local or county policies and/or environmental changes that promote physical activity (e.g. schools, parks, community centers, trails, playgrounds, worksites)
Environmental changes include signage and other physical changes to the environment that promote physical activity.

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* 3. Please give a description of the policy or environmental change mentioned in question 2.

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* 4. Status of policy or environmental change.

In progress

Adopted

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* 5. Date policy or environmental change was adopted?

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* 6. Has your community implemented or updated community design or transportation plans that promote walking?

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* 7. Please give community design or transportation plan name.
Example: Pretend County Active Transport Plan

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* 8. Please give the status of the community design and/or transportation plan.

In progress

Implementing new

Updating existing

Question Title

* 1. Contact Information

Question Title

* 2. Do you know of any local or county policies and/or environmental changes that promote physical activity (e.g. schools, parks, community centers, trails, playgrounds, worksites) Environmental changes include signage and other physical changes to the environment that promote physical activity.

Question Title

* 3. Please give a description of the policy or environmental change mentioned in question 2.

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* 4. Status of policy or environmental change.

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* 5. Date policy or environmental change was adopted?

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* 6. Has your community implemented or updated community design or transportation plans that promote walking?

Question Title

* 7. Please give community design or transportation plan name. Example: Pretend County Active Transport Plan

Question Title

* 8. Please give the status of the community design and/or transportation plan.

Question Title

* 9. Please give the date the plan was implemented or updated.

* 2. Do you know of any local or county policies and/or environmental changes that promote physical activity (e.g. schools, parks, community centers, trails, playgrounds, worksites)
Environmental changes include signage and other physical changes to the environment that promote physical activity.

* 7. Please give community design or transportation plan name.
Example: Pretend County Active Transport Plan