2021 Let's Move Pittsburgh Bingo Evaluation

Thank you very much for your feedback. Completing this evaluation will enter you in a raffle to win one of 12 prizes randomly selected on Thursday, April 1st at 11:30am EST.

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* 1. Child's name:

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* 2. Parent's name:

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* 3. Please list parent's email address:

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* 4. Please select your grade:

Pre-K - 5th grade

6th - 8th grade

9th-12th grade

College

Early Childhood Programming

Other (please specify)

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* 5. Please rate your agreement with the following statements: "I believe that participating in the Let's Move Pittsburgh Bingo card has increased my ___________________________."

	Disagree	Neither Agree or Disagree	Agree	N/A
interest in physical exercise	interest in physical exercise Disagree	interest in physical exercise Neither Agree or Disagree	interest in physical exercise Agree	interest in physical exercise N/A
knowledge of pedestrian and traffic safety	knowledge of pedestrian and traffic safety Disagree	knowledge of pedestrian and traffic safety Neither Agree or Disagree	knowledge of pedestrian and traffic safety Agree	knowledge of pedestrian and traffic safety N/A
interest participating in a healthy lifestyle	interest participating in a healthy lifestyle Disagree	interest participating in a healthy lifestyle Neither Agree or Disagree	interest participating in a healthy lifestyle Agree	interest participating in a healthy lifestyle N/A

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* 6. How many activities in the Let's Move Pittsburgh Bingo card did you complete:

1-4

5-10

10-20

20+

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* 7. Regarding the Walking Safety Tips listed on the back of the Let's Move Pittsburgh Bingo card, what is NOT a characteristics of a safe route:

Less Traffic

Slower moving cars

More lighting

Sidewalks

High volumes of fast moving cars