City of Virginia Beach

webforms@vbgov.com

2405 Courthouse Dr, Virginia Beach, VA, 23456, US

Salem Lakes South Park Playground Renovations

Please take a few minutes to complete this short survey to provide Parks and Recreation with any feedback that will assist in designing this neighborhood playground.

For more information, visit VBgov.com/playgrounds.

Name of Association (if applicable)

Select the number of children in your household within the following age groups.

Select the number of children in your household within the following age groups.
	0	1	2	3	4	5
Under age 4	Under age 4/0	Under age 4/1	Under age 4/2	Under age 4/3	Under age 4/4	Under age 4/5
5-12	5-12/0	5-12/1	5-12/2	5-12/3	5-12/4	5-12/5
13 & Up	13 & Up/0	13 & Up/1	13 & Up/2	13 & Up/3	13 & Up/4	13 & Up/5

Special Needs Children: Please note any special needs conditions that you are aware of in your neighborhood (i.e. blind, deaf, wheelchair bound, etc.).

Note some of the current uses of the proposed park property in your neighborhood (i.e. athletics, civic league activities, cookouts, art shows, etc.).

Additional comments regarding proposed park renovations.