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2. Blue Cross Healthy Places Playground Grant Survey

   This survey is to tabulate interest in the creation of a new public park located in the vicinity of the Stones River Road roundabout (traffic circle).

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8. How often do you visit local playgrounds?*
   -- Select One --DailyWeeklyNot oftenNever
9. Which playground features do you or your children use most often? *

   Check all that apply

   1. Swings
   2. Slides
   3. Rope climber
   4. Zipline
   5. Other
11. What types of playground equipment are most important to you or your children? *

    Check all that apply

    1. Swings
    2. Slides
    3. Climbing structures
    4. Pavilion
    5. Other
12. What features would make a new playground more inclusive for children of all abilities?*
14. How do you think a new playground would benefit the community?*
15. Do you think a new playground would foster stronger community connections?*

    1. Yes
    2. No
17. Would improving/adding amenities increase the likelihood of you visiting a community park?*

    1. Yes
    2. No
19. All questions below are optional.
23. Gender

    1. Male
    2. Female
    3. Prefer not to answer
24. Ages in household

    Check all that apply

    1. Under 12
    2. 13 - 17
    3. 18 - 24
    4. 25 - 34
    5. 35 - 44
    6. 45 - 54
    7. 55 - 64
    8. 65 +
25. Number of members in household
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field