Healthy Families Play Outside
Survey Form

* Denotes Required Field

Group Name:*

Group Number:*

(Enter #'s only)

Contact Person’s First Name:*

Contact Person’s Last Name:*

On average, how much time did you spend together out of doors during 2008? *

less than 1 hour per week
1 – 3 hours per week 
3 – 5 hours per week
5 – 7  hours per week
more than 7 hours per week

Approximately how many Lincoln city parks and outside recreation areas (e.g. Pioneer Park, Lincoln Children’s Zoo, Hyde Observatory, Star City Shores) did you visit in 2008? *

less than 5
between 5 and 15
between 16 and 23
between 24 and 35
over 35

How important is it for you to spend time together outdoors? *

5 - Very Important
4 - Important
3 - Neutral  
2 - Not at all Important
1 - Undecided

Did you access the project website (lincolnSafari.com)? *

Yes
No

How useful was the project website (lincolnSafari.com)? *

5 - Very Useful
4 - Useful
3 - Neutral  
2 - Not at all Useful
1 - Undecided

Did you attend any event hosted by these partners? *

Lincoln Children's Zoo

Yes No

Pioneers Park Nature Center

Yes No

State Arboretum

Yes No

UNL Extension

Yes No

Lower Platte SNRD

Yes No

Groundwater Foundation

Yes No

NE Game and Parks

Yes No

Lincoln Parks and Recreation

Yes No

Dimensions Foundation

Yes No

NE Children & Families Foundation

Yes No

What was the best part of this project for your group?



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