Acme County Demo Survey
1.
Are you a resident of Acme County?
Yes
No
2.
What is your zip code?
55555
Other (please specify)
0
/ 5 maximum characters
3.
What is your gender?
Male
Female
Other (please specify)
0
/ 15 maximum characters
4.
How many people are in your household?
Choice
1
2
3
4
5
6
7
8
9
10
more than 10
5.
What is your age category?
8 - 12 yrs.
13 - 17 yrs.
18 - 25 yrs.
26 - 45 yrs.
46 - 55 yrs.
56 - 65 yrs.
65+ yrs.
6.
Are you a parent or legal guardian of one or more children BETWEEN the ages of 12 - 18?
Yes
No
7.
Are you a parent or legal guardian of one or more children UNDER the age of 12?
Yes
No
8.
How do you rate your satisfaction with the existing Acme County facilities?
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Don't use any
9.
Which facilities do you want in Acme County?
Please select your top three (3) choices in order of 1-2-3:
Choice 1
Baseball field
Basketball field
Outdoor wifi work stations
Picnic tables
Soccer field
Walking trails
Choice 2
Baseball field
Basketball field
Outdoor wifi work stations
Picnic tables
Soccer field
Walking trails
Choice 3
Baseball field
Basketball field
Outdoor wifi work stations
Picnic tables
Soccer field
Walking trails
10.
Please tell us any ideas or comments you have:
0
/ 90 maximum characters
11.
Check all the event or activities you are interesting in.
Food trucks
Outdoor concerts
Ultimate frisbee
Walking trails
Wedding venues
Other
0
/ 30 maximum characters
12.
Email Address:
Please enter your email if you wish to be apart of the raffle!
Please hit the Submit Button.
Submit Survey