Shasta Drowning Prevention Survey
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1. Default Section
1
. What is your age group?
What is your age group?
18-25
26-35
36-45
61 and older
2
. What is your gender?
What is your gender?
Male
Female
3
. Are you the parent or guardian of a child under the age of 18?
Are you the parent or guardian of a child under the age of 18?
Yes
No
4
. If so, how old are the children under your care?
If so, how old are the children under your care?
0-5 years
6-10 years
11-15 years
16-17 years
5
. How do you keep kids safe around the water?
How do you keep kids safe around the water?
Adult Supervision
Swimming Lessons
Water Wings/Floaties
Lifejackets
Stay away from water
Fencing
6
. Which, if any, Water Safety Campaigns are you aware of?
Which, if any, Water Safety Campaigns are you aware of?
Water Watcher Campaign
Make a Splash
American Red Cross Whales Tales
Stay On Top of It
Safer 3
National Safe Boating Week
7
. Have you heard of the Shasta Drowning Prevention Coalition?
Have you heard of the Shasta Drowning Prevention Coalition?
Yes
No
8
. How important is water safety to you?
How important is water safety to you?
Very Important
Important
Somewhat Important
Not Important
Other (please specify)
9
. Have you personally expirienced a near-drowning incident?
Have you personally expirienced a near-drowning incident?
Yes
No
Other (please specify)
10
. Has a loved one ever expirienced a drowning or near drowning incident?
Has a loved one ever expirienced a drowning or near drowning incident?
Yes
No
Other (please specify)
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