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1. Are you a Milpitas resident?
Yes
No |
9. What hobbies do you and your family enjoy?
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2. What is your gender?
Male
Female |
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3. What is your age group?
18-24
25-34
35-44
45-54
55-64
65-74
75 and older |
10. Do you or your family members currently participate in Recreation Services programs?
Yes
No
If so, which programs:
Youth
Dance
Sports
Special Interest
Rainbow Theatre
Preschool
Teen Center Programs
Adults
Dance
Sports
Sports Leagues
Special Interest
Sports Center
Senior Center Programs
If yes, why?
Quality Programs
Inexpensive
Convenient Location
Unique Program Offerings
Other:
If no, why?
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4. Are there children in your household? If so, what ages and genders.
Yes
No
Age:
Gender:
M
F
Age:
Gender:
M
F
Age:
Gender:
M
F
Age:
Gender:
M
F
Age:
Gender:
M
F
Age:
Gender:
M
F |
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5. Are there other adults living in your household? If so, what ages and genders.
Yes
No
Age:
Gender:
M
F
Age:
Gender:
M
F
Age:
Gender:
M
F
Age:
Gender:
M
F |
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6. What best describes your family's yearly gross income level?
$10,000-30,000
$30,000-50,000
$50,000-70,000
$70,000-90,000
$90,000-120,000
$120,000+ |
11. What programs would you like to see offered that are not currently offered? (i.e. wine/food classes, family trips, family softball, extreme outdoor activities, etc.)
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7. What is your ethnicity?
Caucasian
African-American
Hispanic
Native American
Asian:
Chinese
Vietnamese
Filipino
Asian Indian
Other |
12. Where do you learn about Recreation Services programs and events?
Relatives/Friends/Word of Mouth
Activity Guide
Flyers
City Marquee
Website
Channel 15
Milpitas Post
Email Announcements
Other:
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8. Do you work outside of Milpitas?
Yes
No
If yes, how many miles do you drive to work (one direction):
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13. Where else would you like us to display our information?
San Jose Mercury Newspaper
Cultural Newspapers:
Chinese
Vietnamese
Other
Metro
Other:
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(Optional)
Your Name
Your Email Address
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