2. 
3. 
5. Teen Interest Survey
7. Teen Name*
8. School*
9. Home Zip Code*
11. Age*
    -- Select One --12131415161718
12. Phone Number

    *by providing you cell phone number you are agreeing to receive text messages from the Dallas Park and Recreation Department. 

13. Email Address*

    *by providing your email you are agreeing to receive emails from the Park and Recreation Department. 

15. Would you be interested in assisting in creating a future Park & Recreation activity/event?*

    1. Yes
    2. No
16. What gaming platform do you currently use*

    1. Playstation
    2. Xbox
    3. Nintendo
    4. PC
    5. None - Im not a gamer
18. What is your preferred social media platform*

    1. Instagram
    2. Facebook
    3. TikTok
    4. Other
    5. None - I do not use Social Media
19. What is the name of your preferred Social Media platform?
21. What activity would you like to see in a rec center? *

    1. Art / Paint / Drawing
    2. Sports Clinics
    3. Talent Shows
    4. 5K Obstacle Run
    5. Other
22. Name of the Activity you would like to see at a rec center?
24. Would you attend a college and entrepreneurships fair for teens? *

    1. Yes
    2. No
25. Would you be interested in helping with a teen-based podcast? *

    1. Yes
    2. No
27. What sports program would you most likely sign up for? *

    1. Baseball
    2. Basketball
    3. Flag Football
    4. Soccer
    5. Softball
    6. Volleyball
    7. Other
28. Name of the sports program you would most likely sign up for?
30. Would you be interested in a performing arts program at a recreation center? *

    1. Yes
    2. No
31. Would you be interested in a teen-based internship at a Dallas recreation center? *

    1. Yes
    2. No
33. What do you do to support your overall wellness and self-care*

    1. Read a book
    2. Run / Exercise / Work Out
    3. Watch a Movie or Tv Show
    4. Other
34. What activity do you do to support your overall wellness and self-care?
36. Is transportation a challenge for you to attend an activity, event, or program at a recreation center? *

    1. Yes
    2. No
37. Do you need interpretation / translation services when attending a program or event? *

    1. Yes
    2. No
39. Are there any cultural events you would like to see celebrated? *

    1. Yes
    2. No
40. What cultural events would you like to see celebrated?
42. Would you like to see Teen Late Night offered more than once a month? *

    1. Yes
    2. No
43. When attending Teen Late Night, does the staff engage and interact with you? *

    1. Yes
    2. No
    3. I have never attended Teen Late Night
45. Do you feel safe attending Teen Late Nights? *

    1. Yes
    2. No
    3. I have never been to Teen Late Night
46. Please tell us why you do not feel safe attending Teen Late Night. *
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48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

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