Please assist Miami-Dade Parks, Recreation and Open Spaces Department in understanding what children and adults with disabilities need from their County Park and Recreation Department The following questions are designed to assist Park Staff in planning Therapeutic Recreation and Inclusive Programming that meets the needs of the citizens with disabilities in Miami-Dade County: To receive this document in accessible format, call 305 755-7848
Age   Zip Code		Disability       Male Female   Do you think there are enough recreational programs and activities available in Miami-Dade County for people with disabilities?   Yes No
What is your primary source of information about recreation programs that are available in Miami-Dade for people with disabilities?  Please name the publication, website, organization or other, if applicable.
Q6     Do you currently attend organized recreation programs?   Yes No   If yes: what type of organized recreation program?   Social Cultural Fitness Sports Aquatics Other Q9 If other, please write in Q10 Please list where you participate in these programs Q11 What kinds of programs would you most like to participate in?   Social Cultural Fitness Sports Aquatics Other Q12 If other, please write in Q13 How many miles are you willing to travel to participate in a recreation program?   0 to 10 miles 10 to 20 miles 20 to 35 miles 35 to 50 miles over 50 miles Q14 What is your primary form of transportation?   Bus or Metrorail Special Transportation Services I drive my own vehicle Driven by others (I depend on others for rides) Q15 Are there barriers that prevent you from participating in recreation?   Yes No Q16 If yes: what are the barriers that prevent you from participating in recreation?   Cost Transportation Lack of information Skill level Distance to programs Equipment Other Q17 If other, please write in Q18 How much would you be willing to pay for one hour of group recreation programming?   $0 $5 $15 $35 $50 Q19 How much would you be willing to pay for a day long group (8 hours) recreation programming?   $0 $20 $50 $75 $100		Q20 Would you be interested in "one-on-one" sessions with a Therapeutic Recreation Specialist for tutoring or learning a specific recreation or sport skill? (For example: individualized water exercises, individualized homework help, learn to ride a bike or use a skateboard, work on baseball or soccer skills)   Yes No Q21 If yes, how much would you be willing to pay for a "one-on-one" session with a Therapeutic Recreation Specialist?   $20 per hour $40 per hour $60 per hour $80 per hour Q22 If you require accommodation(s) to participate, what is the most common accommodation you require?   Physical assistance Adapted equipment Behavior support Communication support Q23 What are some other accommodation you may need? Please List Q24 Do you prefer to participate in recreation programs with (choose answer below)   Persons with disabilities Persons without disabilities Mixed No preference Q25 When is the primary time you would like to attend recreation programs?   Saturday morning Saturday afternoon Saturday evening Weekday morning Weekday afternoon Weekday evening Q26 Are you interested in receiving the Parks Disability Services newsletter?   Yes No Q27 How would you prefer to receive information from Miami-Dade Parks and its Parks Disability Services Program?   Email Postal Mail Q28 May we send you news and promotional information about activities available to you within the Miami-Dade Parks system?   Yes No Q29 Are you interested in participating in a focus group on recreation programs for persons with disabilities? (If yes, be sure to fill out the contact information below)   Yes No   Name   Phone Number   Email   Address   Zip code   Please feel free to comment on anything you would like us to know about your recreation preferences not covered by this survey