BLW Center Survey

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BLW Center Survey

Bridge Lake Point Waunona Neighborhood Center is launching a campaign to a build a NEW community center, and we need your ideas!

Once you complete the survey you will become eligible for a $20 cash drawing (drawn once per month)! All ages are welcome to complete the survey. Please ensure that you provide a valid email address or your contact information in the second to last question of the survey in order to be contacted in the event that you are selected in the drawing.

Please provide your name and the best way to contact you if you would like to be entered into the $20 cash drawing.

Gender *

Female

Male

Other:

Age *

12 or under

13-19

20-39

40-54

55 or older

Ethnic Origin *

Hispanic or Latino

Black or African American

Asian/Pacific Islander

Native American or American Indian

White

Other:

Household Make-Up *

Live alone

With another person (s), no dependent individuals

Household includes dependent children

Household has other dependent individual(s)

I and/or my family currently use Bridge Lake Point Waunona Neighborhood Center for: *

Los Niños Primero (bilingual early childhood program)

Children's After-School Program

Summer Camp for grades 1-5

Teen After-School Program

Summer Camp for grades 6-12

Resource Center

Joining Forces for Families

Community Meals (e.g., Friday noon meals)

Food Pantry

Voting during elections

Senior Programming/Activities

Other:

Required

If NONE of the above, please check why not:

Do not know about the programs/activities

I do not want or need any of the programs/activities

I would attend if the program activities were different

If you would attend BLW Center if programs/activities were different, please describe what you would like the programs/activities to include.

Please describe the programs/activities that you would like the new BLW Center to include. *

The best way(s) to reach me about activities and events at the Center include: *

BLW E-Newsletter

NextDoor

When I come to the center

Other:

Required

The physical structure of the new BLW Center should have the following (please list): *

Please check which, if any, of the following are of interest to you and/or your family *

Attending programs/activities at the Center

Meeting with staff, Steering or other Committee members, or Ambassadors to talk about the Center

Attending community meetings to hear more about the new Center and share ideas about it

Volunteering at the Center

Walking around the neighborhood to pass out surveys and talk to neighbors

Helping to raise additional money to fund the new Center

NONE of the above are of interest to me and/or my family

Required

Please use this space for any other ideas or information you wish to provide about the current center or the new center.

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