Choose Water Everyday engagement survey

Choose Water Everyday on the Bellarine

We would love to find out how you have been part of Choose Water Every Day on the Bellarine Peninsula!

If you would like to go into the draw to win a SODASTREAM please enter your name and a contact number below. Prize will be drawn on Tues 31st March. Good luck!

Question Title

* 1. Name (optional):

Question Title

* 2. Contact Number (optional):

Question Title

* 3. How old are you?

Question Title

* 4. What is your postcode?

Question Title

* 5. Which Choose Water Every Day activities did you do?

Had a chat to the CWED team at an event

Made a Hydration Creation

Watched Drop's Adventure videos

Puzzle Sheets

Bellarine Water-finder Map

Other (please specify)

Question Title

* 6. Did you learn anything new?

Yes

If Yes, please tell us what...

Question Title

* 7. Since doing these activities, would you be more likely to have a drink of water when:

	Yes	Maybe	No	Already do
It's hot?	It's hot? Yes	It's hot? Maybe	It's hot? No	It's hot? Already do
You have been playing or active?	You have been playing or active? Yes	You have been playing or active? Maybe	You have been playing or active? No	You have been playing or active? Already do
You are tired?	You are tired? Yes	You are tired? Maybe	You are tired? No	You are tired? Already do
You are hungry?	You are hungry? Yes	You are hungry? Maybe	You are hungry? No	You are hungry? Already do
You feel unwell?	You feel unwell? Yes	You feel unwell? Maybe	You feel unwell? No	You feel unwell? Already do
You wake up?	You wake up? Yes	You wake up? Maybe	You wake up? No	You wake up? Already do
You are eating food?	You are eating food? Yes	You are eating food? Maybe	You are eating food? No	You are eating food? Already do
You check the colour of your wee?	You check the colour of your wee? Yes	You check the colour of your wee? Maybe	You check the colour of your wee? No	You check the colour of your wee? Already do

Question Title

* 8. Since doing these activities, will you:

	Yes	Maybe	No
Try a new way to drink water?	Try a new way to drink water? Yes	Try a new way to drink water? Maybe	Try a new way to drink water? No
Try to remember to take your water bottle with you?	Try to remember to take your water bottle with you? Yes	Try to remember to take your water bottle with you? Maybe	Try to remember to take your water bottle with you? No
Remind family or friends to drink water?	Remind family or friends to drink water? Yes	Remind family or friends to drink water? Maybe	Remind family or friends to drink water? No
Go on an adventure to find places to drink water?	Go on an adventure to find places to drink water? Yes	Go on an adventure to find places to drink water? Maybe	Go on an adventure to find places to drink water? No
Use the Map to find water fountains when out and about?	Use the Map to find water fountains when out and about? Yes	Use the Map to find water fountains when out and about? Maybe	Use the Map to find water fountains when out and about? No
Drink more water?	Drink more water? Yes	Drink more water? Maybe	Drink more water? No

Question Title

* 9. Is there anything else you would like to tell us about drinking water on the Bellarine?

Question Title

* 10. Lastly, have you seen the Choose Water Every Day message outside of the Bellarine?

Yes

If Yes, please tell us where:

Thank you so much!