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2. How Long have you lived in La Vergne?*
   -- Select One --Less than 1 year1-2 years3-4 years5-10 years11-15 years16-20 yearsMore than 20 years
3. How do you get to existing parks or facilities?*

   Select all that apply

   1. Private Automobile
   2. Ride Share
   3. Bicycle
   4. Walk
5. How often do you visit the parks or recreation facilities in La Vergne?*
   -- Select One --A few times per yearMonthlyWeeklyNever
6. How important are parks & recreation to your quality of life?*
   -- Select One --Very importantImportantSomewhat ImportantNot Really ImportantNot Important at all
8. When you visit one of the parks & recreation facilities, with whom do you usually go?*

   Select all that may apply

   1. Adult family member
   2. Child family member
   3. Child for whom I provide for
   4. Entire family
   5. Friends
   6. Team or league members
   7. I go alone
9. What are your general impressions of the current parks and recreation system?*
   -- Select One --ExcellentGoodAverageNot very goodNot good at all
11. I use or visit:*

    1. Bicentennial Park Ball Fields
    2. Bicentennial Park Log Cabin
    3. Brookside Park and Walking Trail
    4. Hurricane Creek Greenway
    5. Lake Forest Park and Playground
    6. Mankin Park and Playground

    1. Multi-Purpose Building at Bicentennial Park
    2. Park Pavilions (all parks)
    3. Veteran’s Memorial Wall
    4. Veteran’s Memorial Park Playground
    5. Skate Park (Veteran’s Memorial Park)
    6. Basketball Courts (Veteran’s Memorial Park)

    1. Tennis Courts (Veteran’s Memorial Park)
    2. Field Hockey Rink (Veteran’s Memorial Park)
    3. Veteran’s Memorial Park Restrooms
    4. Veteran’s Memorial Park Ball Fields
    5. None of These

    (Check all that apply)
13. I participate in the following programs as a spectator or participant:*

    1. Baseball/Softball/Tball Leagues
    2. Cheerleading
    3. Farmers Market
    4. Winter Formal
    5. Football League
    6. Goblins & Goodies at the Park
    7. Historical Preservation Day
    8. Howl at the Moon 5K

    1. Independence Day Celebration
    2. In-line Hockey
    3. Jazzercize
    4. Light Up La Vergne
    5. Martin Luther King, Jr. Ceremony
    6. Miss La Vergne Pageants
    7. Old Timers’ Festival
    8. Old Timers’ Parade

    1. Parade of Lights and Tree Lighting
    2. Veterans Day Celebration
    3. Zumba
    4. Block Party
    5. Easter Egg Hunt
    6. Movies in the Park
    7. Music in the Park
    8. None of These

    (Check all that apply)
15. I would like to see:*

    1. Additional Park Benches
    2. Adult Baseball / Softball Program
    3. Community Center
    4. Community Garden with Education Programs
    5. Dance Classes
    6. Dog Park
    7. Exercise Programs
    8. Expand Hurricane Creek Greenway Trail
    9. Expand Walking Trail at Brookside Park
    10. Nature Hikes and Walks
    11. New Playground at Brookside Park
    12. Restroom and Water Faucet at Lake Forest Park

    1. Renovate Bicentennial Park
    2. Repurpose Bicentennial Park
    3. Repurpose Lake Forest Police Substation
    4. Splash Pad
    5. Soccer Program
    6. Sun (Shade) Structure for Playgrounds
    7. Tennis Program
    8. Tumbling / Cheerleading Classes
    9. UT Extension 4-H Programs
    10. Yoga Class
    11. Youth Camps
    12. Youth Education Series

    (Check all that apply)
17. Would you walk or bike to a park or facility if you could get there in 15 minutes or less?*
    -- Select One --YesNoMaybe
18. What opportunities are there for greenways and open space?*

    Select all that may apply

    1. More environmental enhancement
    2. More connections to parks
    3. More connections to schools
    4. More connections to downtown
    5. More connections to neighborhoods
    6. More non-programmed, flexible play space
20. What do you like most about our parks?
22. What do you like least about our parks?
24. How safe do you feel when visiting a city park or facility?*

    1. Very Safe
    2. Fairly Safe
    3. Not Safe
25. Do you have children who use, play at or participates in events at city parks?
    If yes, what age(s)?
26. In your opinion, are the recreational opportunities in La Vergne affordable?*
    -- Select One --YesNoMaybe
30. Additional Information
    All questions below are optional.
32. Gender

    1. Male
    2. Female
    3. Prefer not to answer
33. Ethnicity

    1. African-American
    2. Asian
    3. Caucasian (White)
    4. Hispanic or Latino
    5. Native American or American Indian
    6. Other
34. Age

    1. Under 12
    2. 13-17
    3. 18-24
    4. 25-34
    5. 35-44
    6. 45-54
    7. 55-64
    8. 65+
36. Name
38. Phone Number
39. Email Address
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41. 1. Receive an email copy of this form.
42. Email address

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43. Submit

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