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* 1. Listed below are all of the categories and risk areas in which Safe Kids Worldwide has developed educational resources for their coalitions to use.  While we recognize that ALL injury prevention efforts are important, we realize that certain topics may be more critical based on community need.  Please take a few minutes to review the topics below and rank them based on your professional experiences.  If you feel strongly that there is a need for injury prevention education in an area that is not listed, please include it in the comment box below along with a brief explanation.  Thank you so much for your time and participation.

  Not that important Slightly important Important Fairly important Very important
Home-Button Battery Injury Prevention
Home-Fall Prevention
Home-Fires, Burns and Scald Prevention
Home-Medication Safety
Home-Suffocation Prevention and Sleep Safety
Home-TV and Furniture Tip-over
Home-Toy Safety
Home-Water Safety
Home-Laundry Packet Safety
Car and Road-Child Passenger Safety
Car and Road-Child Pedestrian Safety
Car and Road-Frontovers and Backovers
Car and Road-Getting Ready to Drive Safety
Car and Road-Heatstroke Awareness and Prevention
Car and Road-In and Around Cars
Sports and Play-Bicycle, Skateboard and Other Wheeled-Sport Injuries
Sports and Play-Sports Injuries

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* 2. Are you aware of any gaps or shortages in resources/services for specific areas of injury prevention in 19 and younger within our local community?  If yes, please elaborate in the comment box below.

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* 3. As of November 2015 were you a member of the Safe Kids Sarpy/Cass Coalition?

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* 4. In which county do you work?

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* 5. Would you like to receive emails from Safe Kids Sarpy/Cass about upcoming coalition meetings, special events, and newsletters?

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* 6. Contact Information

Thank you again for taking the time to
help us improve our programming!
We hope to see all of you at our coalition meetings in 2017.

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Have a safe and happy holiday season!

<div style="text-align: center;"><span style="color: #008000; font-size: 24pt;"><strong>Have a safe and happy holiday season!</strong></span></div>

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