Name |
|
Date |
|
City |
|
Group Time |
|
Gifts for Children (Parents and Legal Guardians)
Please think about children ages 7-12 when answering the following questions.
(Please select as many as apply)
My own children |
□ |
Other children in my family |
□ |
My friends’ children |
□ |
My children’s friends |
□ |
Other Please Specify: _______________________________ |
□ |
None of the above |
(Please select as many as apply)
Birthdays |
□ |
Holidays Please specify: ________________________________________________________ |
□ |
Other Please specify: __________________________________________________________ |
□ |
(Please select one response per column) |
For children in my family |
For children not in my family |
$10 or less |
|
|
$11-$25 |
|
|
$26-$40 |
|
|
More than $40 |
|
|
In person, in a store |
Online |
|
|
CONTINUE
|
(Please select one)
Educational value |
|
Looks fun/Will make child happy |
|
Reflects child’s interests |
|
Good quality |
|
Other Please specify: __________________________ |
|
Q6. How often do you use the following social media platforms?
|
Never |
Once a week |
2-5 times a week |
Every day |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Snapchat |
|
|
|
|
Google Plus+ |
|
|
|
|
Tumblr |
|
|
|
|
|
|
|
|
|
Other (please specify) ___________________________ |
|
|
|
|
Other (please specify) ___________________________ |
|
|
|
|
|
Less than once a week |
Once a week |
2-5 times a week |
Every day |
1. ___________________________________________ |
|
|
|
|
2. ___________________________________________ |
|
|
|
|
3. ___________________________________________ |
|
|
|
|
4. ___________________________________________ |
|
|
|
|
5. ___________________________________________ |
|
|
|
|
(Please select one)
Extremely Easy |
Somewhat Easy |
Neither easy nor challenging |
Somewhat Challenging |
Extremely Challenging |
||||
|
|
|
|
|
|
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Christopher Dunn |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |