Ward no: __________
Ward Name: _____________________
Date of survey: ____________________ Time of survey: __________________________
Name of park :_______________________
Opening timing of park :_______________________________
Part -1
1. What is your age range?
0-4
5-9
10-14
15-19
20-24
25-44
45-64
65-79
2. Gender

Male

Female
3. Address: ____________________________________
Part-2
4. How often do you visit park?
 Always
•
Very Often
•
Sometimes
•
Rarely
•
Never
5. How do you travel to your park?
 On foot
 Bike or Bicycle
 Motorbikes
 Car
 Bus
 Other
6. How long does your journey take? To reach the park ?
 0-5 min
 5-10 min
 10-15 min
 10-20 min
 20 min or more
7. Are the park continues clear & well maintained?
 Yes
 No

Other
79
8. Why do you visit the park ?
 For peace & quiet
 Get some fresh Air
 Ride a bike
 Visit the play area
 Attend events
 Enjoy flower & trees
 For walk / jogging
 Walk a dog
 Enjoy the surrounding
 Play/ watch sports
 See birds
 Children & Family outing
 Eat / drink
 Meet friends
 Others
9. How easy is it for you to access and get around the park?

Very easy

Easy 
fair

10. Are you satisfied with the range of facilities?
 Yes
 No
11. How much satisfied with the park facilities?

Very 
Satisfied 
satisfied

Neutral 
hard
very hard
unsatisfied 
very
unsatisfied
12. Do you generally feel safe in park?
 Yes
 No
13. How much safe you feel in this park?

Very 
Safe

neutral 
unsafe
safe
14. Is there any activity organised in the park by the authorities?
 Yes
 No
15. How often do you attend any park activities organised by the parks
recreational department?
Very frequently 
frequently 
occasionally 
rarely
16. would you recommend any change in opening and closing timing of park?
 Yes , ________________
 No
17. What kind of play experience do you/you child prefer in park?


very
unsafe
authorities and

never
18.
19.
20.
21.
22.
23.
 Tactile eg.Sand pits
 Sensory eg. Musical equipments
 Challenging eg. Rope course
 Nature based eg. Rocks/peddles
How long do you spend at park?
 < 30 mins
 30 mins – 1 hr
 1 hr – 2 hrs
 2 hrs-3 hrs
 Longer than 3 hrs
Do any of the factor currently limit your stay a playground?
 Limited variety of play opportunity
 Lack of park furniture
 Lack of shades
 No access to toilets
 Other ___________________
How important are parks to overall quality of life in city Korba?
 Very Important
 Important
 Moderately Important
 Slightly Important
 Not Important
How satisfied are you with rest rooms?
 Very satisfied
 Satisfied
 Neither
 Dissatisfied
 Very dissatisfied
How satisfied are you with playground facility?
•
Very satisfied
•
Satisfied
•
Neither
•
Dissatisfied
•
Very dissatisfied
According to you which factors are important and how would you rate the performance of
different factors on the basis of your satisfaction provided by this park.
S.No
Factor
1
Waterbody
2
Mosquitoes
3
Sanitation
4
Rest
5
Commercial facilities
6
Recreational facilities
7
Amphitheatre
1
2
3
4
5
8
Arena
9
Art craft facility
10
Barbeque
11
Bench
12
Boating
13
Camping
14
Chess table
15
Dog off leash area
16
Farm
17
Fishing area
18
Lights
19
Recreational building
20
Gazebo / pergola
21
Land scape
22
Sculpture
23
Traffic
24
Parking condition
25
Distance
26
Aesthetics
27
Safety/Security
28
Club house
29
Maintenance of facilities
30
Maintenance of plants
31
Cleanliness
32
Legislation
33
Waster disposal facilities
34
Community centre
35
Activity Building
36
Water Drinking Facility
37
Fountain / water feature
38
Restroom
39
Historic marker / site
40
Meeting room
41
Lights
42
Parking lot
43
Picnic shelter
44
Plaza
45
46
Public art
Toilet
note*
5=Very satisfied
4=Satisfied
3=Neither
2=Dissatisfied
1=Very dissatisfied
Part -3
24. Is there any thing you would like to point regarding the park?
_______________________________________________________________________
25. What you like most about the park?
_______________________________________________________________________