Athletic Programs Survey Question Title * 1. What is your age? Under 18 18-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61-65 66-70 71-75 76 or over Question Title * 2. Gender of person taking this survey: Male Female Question Title * 3. Residence: Augusta County resident Non-resident Question Title * 4. If you are an Augusta County Resident, what town or district do you live or are closest to? Buffalo Gap Cedar Green Churchville Craigsville Crimora Deerfield Dooms Fishersville Fort Defiance Greenville Jolivue Lyndhurst Middlebrook New Hope North River Sherando Spottswood Stuarts Draft Verona Weyers Cave White Hill Wilson Beverley Manor Middle River North River Pastures Riverheads South River Wayne If area is not listed please specify which area. Question Title * 5. How many years have you lived in Augusta County? less than 1 year 1-5 6-10 11-15 16-19 20+ Question Title * 6. Do you currently have children in school? Yes No If yes please indicate age Question Title * 7. Do your children currently or have they ever participated in any Augusta County Parks and Recreation activities or programs? yes no If yes, please indicate which one Question Title * 8. Currently ACPR does not offer youth athletics. Would you like to see Augusta County Parks and Recreation take a more active role in youth athletics? yes no Question Title * 9. Do you currently or have you ever participated in any Augusta County Parks and Recreation activities or programs? yes no If yes, please indciate which one Question Title * 10. Do you or your children participate in programs or activities offered by other parks and recreation departments? yes no If yes, please indicate which one Question Title * 11. What type of athletic activities WOULD you participate in? (please choose three) Track and Field Gymnastics Weightlifting Soccer Basketball Flag Football Rugby Baseball Softball Lacrosse Volleyball Dodgeball Tug-of-War Tennis Pickleball Badminton Table Tennis Racquetball Boxing Wrestling Karate Kickboxing Swimming Golf Other Other (please specify) Question Title * 12. How would you rate the overall quality of Augusta County Parks and Recreation facilities? poor average excellent Question Title * 13. Which factor would most influence your decision to participate in an athletic program? registration costs quality of facilities competitiveness of program fellowship location of program other Other (please specify) Question Title * 14. What is the best way to communicate information about Augusta County Parks and Recreation programs and activities to you? Facebook brochure newspaper internet/county website flyer's Other (please specify) Question Title * 15. Please provide us with any contact information that you would like to share. Name: Company: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Phone Number: Question Title * 16. Please use this space to communicate any ideas or suggestions you want to share with us. Done
