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11. Please indicate if YOU or any member of your HOUSEHOLD has a need for each of the sports <br /> and recreation programs listed below by circling the YES or NO next to the recreation program. <br /> If YES, please rate the following recreation PROGRAMS on a scale of 5 to 1, where 5 means <br /> "100% Meets Needs" and 1 means "Does Not Meet Needs" of your household. <br /> Do You Have a If YES You • How <br /> Need for this Are <br /> Your • Being <br /> Type of Program <br /> Yes No Met Met Met Met Met <br /> A. Youth Learn to Swim programs Yes No 5 4 3 2 1 <br /> B. Preschool programs Yes No 5 4 3 2 1 <br /> C. Before and after school programs Yes No 5 4 3 2 1 <br /> D. Youth summer camp programs Yes No 5 4 3 2 1 <br /> E. Youth sports programs Yes No 5 4 3 2 1 <br /> F. Youth fitness and wellness programs Yes No 5 4 3 2 1 <br /> G. Programs for teens Yes No 5 4 3 2 1 <br /> H. Adult fitness and wellness programs Yes No 5 4 3 2 1 <br /> 1. Water fitness programs Yes No 5 4 3 2 1 <br /> J. Tennis lessons and leagues Yes No 5 4 3 2 1 <br /> K. Youth art, dance, performing arts Yes No 5 4 3 2 1 <br /> L. Adult art, dance, performing arts Yes No 5 4 3 2 1 <br /> M. Adult sports programs Yes No 5 4 3 2 1 <br /> N. Adult programs for 50 years and older Yes No 5 4 3 2 1 <br /> O, Programs for people with disabilities Yes No 5 4 3 2 1 <br /> P. Birthday parties Yes No 5 4 3 2 1 <br /> Q. Adult continuing education programs Yes No 5 4 3 2 1 <br /> R. Golf lessons and leagues Yes No 5 4 3 2 1 <br /> S. Special events, i.e. concerts, movies, etc. Yes No 5 4 3 2 1 <br /> T. Nature programs/environmental education Yes No 5 4 3 2 1 <br /> U. Travel programs Yes No 5 4 3 2 1 <br /> V. Farmers' Market Yes No 5 4 3 2 1 <br /> W. Programs with your pets Yes No 5 4 3 2 1 <br /> X. Other: Yes No 5 4 3 2 1 <br /> 12. Which FOUR of the programs from the list in Question #11 are most important to your <br /> household? [Using the letters in Question #11 above, please write in the letters below for your 1St, 2nd, <br /> 3rd, and 4th choices, or circle `NONE'.] <br /> 1st: 2nd. 3rd: 4th: NONE <br /> 13. Which FOUR of the programs from the list in Question #11 do you currently participate in MOST <br /> OFTEN at City of Bloomington Parks and Recreation Department facilities? [Using the letters in <br /> Question #11 above, please write in the letters below for your 1st, 2nd, 3rd, and 4th choices, or circle <br /> `NONE'.] <br /> 1st: 2nd. 3rd: 4th: NONE <br /> ©Leisure Vision/ETC Institute for the City of Bloomington Parks & Recreation Department Page 4 <br />