2011 Botball Pre Tournament Survey

1.Participant Information

This information is confidential and is used by the KISS Institute to improve our program and to provide aggregate statistical information for fund raising efforts.
1.What is your team #? This will only be used for the purpose of the online documentation requirement and to group responses.(Required.)
2.Did your team receive funding from any of the following?
You may have to ask your coach/mentor for this information.
3.What grade are you in?
4.What is your gender?
5.What is your ethnicity? You may choose more than one category.
6.Disabilities (select all that apply):
7.Number of years you personally have been involved in Botball?
8.Which region will you compete in?
Region
Florida
Greater DC
Greater St. Louis
Hawaii
Michigan
New England
New Mexico
New York/New Jersey
Northern California
Oklahoma
Qatar
Southern California
Texas
9.What is your role on the team? Please select all that apply.
10.Did your team build a game table to practice on?
11.Do you participate in other robotic or engineering contests and programs?
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