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.

Question Title

* 1. BEFORE THIS ACTIVITY, how AWARE do you think your child/children were of "DIALING 9-1-1"?

Extremely aware

Very aware

Somewhat aware

Not so aware

Not at all aware

Question Title

* 2. AFTER THIS ACTIVITY, do you think your child/children have increased their AWARENESS for "DIALING 9-1-1"?

Yes

No

Question Title

* 3. Was this "DIALING 9-1-1" activity fun for your child/children?

Yes

No

Question Title

* 4. Do you think you will try to review the "DIALING 9-1-1" activity in the next 30 days?

Yes

No

Question Title

* 5. Do you feel that the lesson on "DIALING 9-1-1" will improve your child/children's safety?

Yes

No

Maybe

Question Title

* 6. Do you have any recommendations for this "DIALING 9-1-1" activity?

Question Title

* 7. Do you have any suggestions for other subjects?

Question Title

* 8. What State Do You Live in?

California

New York

Other (please specify state)

Question Title

* 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?