program survey for austin's cities connecting children to ... · this survey will remain live...

This survey will remain live and open through July 2016. The City of Austin Parks and Recreation Department is currently leading a Strategic PlanningInitiative to ensure that every child in Austin has abundant and equitable access to nature. As partof the planning process, we are conducting a program survey in order to create acomprehensive database of all programs in Austin that are bringing children outside and/orconnecting them to nature in some way. This survey will help us determine what gaps and needsexists in Austin from a programmatic standpoint. We are collecting program information from Non-profit Organizations, City Departments, Hospitals, Schools, etc.

This survey will allow you to enter information for up to 5 types of programs:Please list all programs that take place OUTDOORS and/or focus on NATURE BASEDLEARNING for children AGES 0-18. (Ex. gardening / farming programs, outdoor recreation /sports programs, environmental education programs, etc.)If your organization runs the same program at multiple branches or locations across Austin,ideally we’d like that information consolidated and entered only once to reflect city-wideimpact.We know that your organization may have more than 5 types of programs that serve toconnect children to nature. Please list what you consider to be your top 5 programs.We also know that you may not track all the information we are requesting for each program.Please do the best you can to provide the best answer to each question.

If you have any questions please feel free to contact Survey Creator and Project Coordinator, JuliaCampbell: [email protected], 214-693-6360.

Program Survey for Austin's Cities Connecting Children to Nature Initiative

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9 - Program Survey Template

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Organization Name

First Name

Last Name

Title

Phone Number

Email

Organization's MainAddress

Address Line 2

Website

Organization's AnnualBudget

1. Please provide contact information for your organization.*

2. Organization type (please choose one)*

Faith Based / Religious Organization

Elementary School / Middle School / High School

University / College

Non-Profit

Government Agency

Hospital / Health Care Provider

Private Business

Other (please specify)

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Program Information - Program 1

1. Name of Program 1:*

2. In which Council Member District(s) / Zip Code(s) does this program physically take place? (Choose allthat apply) Interactive Council Member District Map

*

District 1: Ora Houston (78721, 78723, 78724, 78753)

District 2: Delia Garza (78744, 78745, 78747)

District 3: Sabino "Pio" Renteria (78702, 78704, 78741)

District 4: Gregorio Casar (78752, 78758)

District 5: Ann Kitchen (78704, 78745, 78748)

District 6: Don Zimmerman (78717, 78726, 78727, 78729)

District 7: Leslie Pool (78727, 78756, 78757, 78758)

District 8: Ellen Troxclair (78735, 78739, 78749)

District 9: Kathie Tovo (78701, 78704, 78705, 78722, 78751)

District 10: Sheri Gallo (78730, 78731, 78759)

Outside Austin City Limits (Please Specify)

http://www.austintexas.gov/GIS/CouncilDistrictMap/

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3. What is the primary intent of this program?*

Education

Nature Stewardship

Recreation (hiking, biking, fishing, rock climbing, etc.)

Sports (played on outdoor field)

Health

Food Sustainability

Citizen Science

Nature Play


4. What is the average number of individual children served annually by this program (use 2015 numbers ifyou need to specify a time period within your organization's data). If you cannot provide a reliable approximation please type "DO NOT TRACK"

*

5. What is the average frequency of child's (or group's) participation in this program annually?*

Multiple times a week

Once a week

Once a month

Four times a year

Twice a year

Once a year

Cannot provide a reliable approximation

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6. What is the average duration of the program's activity per visit?*

Less than 1 hour

1 hour

2-4 hours

4-6 hours

6-8 hours

8+ hours

Overnight


7. What age group(s) does this program primarily serve? (Choose all that apply)*

0-5

6-10

11-13

14-18

18+

All ages 0-18

Program serves families


White (non-Hispanic)

Hispanic or Latino

African American

Asian

American Indian

Native Hawaiian / PacificIslander

Two or More Races

8. What is the approximate demographic composition of your program participants? (please type apercentage for each category)Please skip this question if you cannot provide a reliable approximation

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9. In which Council District(s) do the majority of your program participants live? (Choose all that apply) Interactive Council Member District Map *











Outside Austin City Limits (please specify)

10. Do you charge a fee for this program?*

Yes

No

11. If you charge a fee for this program, do you give discounts or scholarships to low-income / Title Iparticipants?*

Yes

No

N/A


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12. On average, what percentage of participants for this program are considered Low-Income / Title I?*

0%

1% - 10%

11% - 20%

21% - 30%

31% - 40%

41% - 50%

51% - 60%

61% - 70%

71% - 80%

81% - 90%

91% - 100%

DO NOT TRACK

13. How do the majority of participants arrive at this program?*

Parent drop-off (car)

School Bus

Active transportation (walking/biking/skating)

Public transportation

Program takes place at school (the kids are already there)

Program provides transportation for participants



14. Do you have additional programs you would like to add to this survey?*

Yes

No, I'm finished

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*













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Education

Nature Stewardship



Health

Food Sustainability

Citizen Science

Nature Play



*



Once a week

Once a month

Four times a year

Twice a year

Once a year



Less than 1 hour

1 hour

2-4 hours

4-6 hours

6-8 hours

8+ hours

Overnight


7. What age group(s) does this program serve? (Choose all that apply)*

0-5

6-10

11-13

14-18

18+

All ages 0-18




Hispanic or Latino

African American

Asian

American Indian


Two or More Races















Yes

No


Yes

No

N/A



0%

1% - 10%

11% - 20%

21% - 30%

31% - 40%

41% - 50%

51% - 60%

61% - 70%

71% - 80%

81% - 90%

91% - 100%

DO NOT TRACK



School Bus








Yes

No, I'm finished




*














Education

Nature Stewardship



Health

Food Sustainability

Citizen Science

Nature Play



*



Once a week

Once a month

Four times a year

Twice a year

Once a year



Less than 1 hour

1 hour

2-4 hours

4-6 hours

6-8 hours

8+ hours

Overnight



0-5

6-10

11-13

14-18

18+

All ages 0-18




Hispanic or Latino

African American

Asian

American Indian


Two or More Races















Yes

No


Yes

No

N/A



0%

1% - 10%

11% - 20%

21% - 30%

31% - 40%

41% - 50%

51% - 60%

61% - 70%

71% - 80%

81% - 90%

91% - 100%

DO NOT TRACK



School Bus








Yes

No, I'm finished




*














Education

Nature Stewardship



Health

Food Sustainability

Citizen Science

Nature Play



*



Once a week

Once a month

Four times a year

Twice a year

Once a year



Less than 1 hour

1 hour

2-4 hours

4-6 hours

6-8 hours

8+ hours

Overnight



0-5

6-10

11-13

14-18

18+

All ages 0-18




Hispanic or Latino

African American

Asian

American Indian


Two or More Races















Yes

No


Yes

No

N/A



0%

1% - 10%

11% - 20%

21% - 30%

31% - 40%

41% - 50%

51% - 60%

61% - 70%

71% - 80%

81% - 90%

91% - 100%

DO NOT TRACK



School Bus








Yes

No, I'm finished




*














Education

Nature Stewardship



Health

Food Sustainability

Citizen Science

Nature Play



*



Once a week

Once a month

Four times a year

Twice a year

Once a year



Less than 1 hour

1 hour

2-4 hours

4-6 hours

6-8 hours

8+ hours

Overnight



0-5

6-10

11-13

14-18

18+

All ages 0-18




Hispanic or Latino

African American

Asian

American Indian


Two or More Races















Yes

No


Yes

No

N/A



0%

1% - 10%

11% - 20%

21% - 30%

31% - 40%

41% - 50%

51% - 60%

61% - 70%

71% - 80%

81% - 90%

91% - 100%

DO NOT TRACK



School Bus







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