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* 1. Participants Name (Optional)

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* 2. What is your child's gender?

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* 3. Where are you from?

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* 4. How did you hear about this program (check all that apply)

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* 5. Of the 25 free lessons offered between June 11 - August 27, approximately how many did your child attend?

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* 6. How accessible was this program to you?

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* 7. After completing the skateboard lessons, your child's skill level is now considered:

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* 8. Upon completion of this summer program, my child now feels confident in his/her ability to continue skateboarding, either for play or active transportation, in the future.

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* 9. This program has increased my child's level of daily/weekly physical activity.

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* 10. I am interested in participating in skateboard lessons for Summer 2017

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* 11. Overall, this was a positive, safe, and healthy experience for my child

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* 12. Additional suggestions for improvement/comments for instructors and program facilitators:

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