Note: This survey will be anonymous.Some of the questions are geared mostly for adults (which doesn't really matter) but you can still answer them based on your experiences. Please answer the questions as honestly as possible. All questions needs to be completed. Thank you!!!


1) Gender: ___Male ___Female ____Other:____________

2) Educational Background: ___High School
___Some high school
___College/University
___Some College/University
___Other: ____________ (Please specify)

3) Do you have a job?
___Yes ___No


4) If yes, how much do you earn per month?

____less than $1000/mo
____$1000-$5000/mo
____$5000-$10,000/mo
____more than $10,000/mo


5)Where do you live?

____Suburbs
____In the city (downtown or midtown)
____Rural or country
____Other:__________

6) How far is your work from home? Approximates are accepted.

____less than 5km
____5-10 km
____10-15 km
____more than 15 km

7) Do you have children/siblings?

____Yes ___No


cool How many?

___1 ___2 ____3 _____more than 3


9) Did this influence where you decided to live?

____Yes ____No


10) Please briefly explain your answer above.








11) Do you take transit going to work, school, dropping your children or siblings in a daycare or school among other things?

____ Yes ____No _____Sometimes


12) If no, what alternative mode of transportation do you use?

___Car ___Van/SUV ___Truck ___Bicycle Other:_______ (Please specify)


13) If you use any type of motor vehicle, how much do you spend on gas per month? Approximates are accepted.

____ 0-$200 ____ $201-$400 ____ $401-$600

___ $601-$800 ____ $800+


14) As gas prices rise, will you consider moving closer to work?

____ Yes ____No ____Maybe _____Not sure


15) Please briefly explain your answer above.











16) How close is the nearest park to your house/work?

___ less than 2 blocks
___ 2-4 blocks
___ 5-8 blocks
___ farther than 8 blocks


17) How often do you use it?

___Always ___Often ___Sometimes ___Rarely ___Never


1 Did the park factor into your decision to live in this area?

___Yes ___No


19) Please briefly explain your answer above.








20) How important is nature to you in relation to your everyday life?

___ Very important
___ Quite important
___ Not important
___ Not important at all