1. What Grade are you in?
	6 7 8 9 10 11 12 K-5 Parent or Community Member

	2. What School do you attend?
	ADMS BGHS CGES CMS ECHS EES HMS NMS SCHS TCMS CCCA WCHS WTS Central Middle Whiteville HS Edgewood

	3. Which of the following activities do you currently do:
	weightlifting golf running swimming aerobics tennis baseball soccer basketball football

	4. Which of the following WOULD you do if a nearby facility offered it?
	swimming golf baseball (indoor batting cage) basketball aerobics running (indoor rack) tennis weightlifting

	5. On a scale of 1-5 rate the following question:  Students in Columbus County need a safe place to gather.
	Enter an answer strongly disagree disagree no opinion agree strongly agree 1 2 3 4 5

	6. An exercise center that offered swimming, indoor batting cages and other activities would be appealing to students.
	Enter an answer Strongly Disagree Disagree No Opinion Agree Strongly Agree 1 2 3 4 5

	7. What other interests do you have that could be addressed through a health and wellness center?