SKSK giveaway entry

Complete the following survey to be entered to win a giveaway donated by our generous community sponsors.

Question Title

* 1. How many children in your family attended this event?

1

2

3

4

5

6

7

8

9

10

Other (please specify)

Question Title

* 2. What are the ages of the children that attended?

0-2 years of age

3-5 years of age

6-9 years of age

10-12 years of age

13 or older

Question Title

* 3. How did you hear about the Strong Kids, Safe Kids! Event? (Check all that apply)

Newspaper

Website

Community Flyer

Flyer from School

Radio

TV

Movie Theatre

Other (please specify)

Question Title

* 4. Did you enjoy the location of this event?

Yes

No

Other (please specify)

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* 5. What would you like to see at future events?

Question Title

* 6. Winners will be contacted after November 15, 2014. Please indicate your name and how we may reach you if you are a winner.

Name: *

ZIP Code: *

Email Address:

Phone Number: