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At-Home Family Night Survey Fall 2020

At-Home Family Night Parent Survey

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* 1. Parent full name

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* 2. What is your mailing address? If selected, we will mail your PBS KIDS prize pack to your home. This information won't be sold or shared. We will use the email to contact you if you are one of our prize winners.

Address

Address 2

City

ZIP/Postal Code

Email Address

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* 3. I confirm that my child(ren) made BINGO on the BINGO Card and that we played the Headbands game as a family.

Check this box to confirm that you participated in the activities as a family.

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* 4. My child(ren) completed the following BINGO activities:
(Please list the activities they completed from the BINGO card)

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* 5. Tell us how the At-Home Family Night went. What did you and your family love? Your feedback is important, and helps us create a better program for you and your family.

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* 6. Complete this sentence. During the At-Home Family Night my family learned...

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* 7. Tell us why PBS and PBS KIDS is important to you and your family. Your answer helps us create better events and programs to serve our community.

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* 8. Would you like to sign up for the PBS Utah Parent e-Newsletter?

Yes

No