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PARENT SURVEY ACTIVITY #9 "DIALING 9-1-1"
Parents: Thank you for taking the time to participate in our survey about the "DIALING 9-1-1" activity. The survey takes less than 2 minutes.
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1.
BEFORE
THIS ACTIVITY,
how AWARE do you think
your child/children were of "DIALING 9-1-1"?
(Required.)
Extremely aware
Very aware
Somewhat aware
Not so aware
Not at all aware
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2.
AFTER
THIS ACTIVITY,
do you think your child/children have increased
their AWARENESS for "DIALING 9-1-1"?
(Required.)
Yes
No
*
3.
Was this "DIALING 9-1-1" activity fun for your child/children?
(Required.)
Yes
No
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4.
Do you think
you
will try to review the "DIALING 9-1-1" activity in the next 30 days?
(Required.)
Yes
No
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5.
Do you feel that the lesson on "DIALING 9-1-1" will improve your child/children's safety?
(Required.)
Yes
No
Maybe
6.
Do you have any recommendations for this "DIALING 9-1-1" activity?
7.
Do you have any suggestions for other subjects?
8.
What State Do You Live in?
California
New York
Other (please specify state)
9.
How old is your child?
3 to 5 years
6-8 years
9-11 years
12 or older
Other (if more than l child) what are ages of each child who learned this lesson?
