BVSA Playground Replacement Community Survey Question Title * 1. Name Question Title * 2. Tract/Lot Question Title * 3. Residency Information Property Owner Renter Resident who resides with an owner Other (please specify) None of the above Question Title * 4. Do you have children ages 13 and under permanently residing in your home? Yes No Question Title * 5. Do you have grandchildren or extended family/friends with children under 13 who frequently visit BVS? Yes No Question Title * 6. How frequently do you utilize the playground at Cub Lake? More than once a week Weekly Monthly Less than once a month Never Question Title * 7. How frequently do you utilize the playground at the Whiting Center? More than once a week Weekly Monthly Less than once a month Never Question Title * 8. Ages of children permanently residing in your home (check all that apply) Under 3 years old 3-5 6-10 11+ There are no children permanently residing in our home Question Title * 9. Name 3 components/equipment you would like to see included in the future playground design? #1 #2 #3 Question Title * 10. If you could waive a magic wand and create a playground for BVS, what would it be or look like? Question Title * 11. Do you have a child, friend, or relative with special needs? Yes No If yes, what could we include to meet those needs? Question Title * 12. Do you have any additional comments that have not been addressed in previous questions? Done