To more accurately gauge family participation and interests, this survey is intended to be completed by the head of household on behalf of all those residing in his/her domicile (house, apartment, etc.).
Please note: Only one survey per household is allowed.
Items that require a response have an asterisk (*) next to them. Some items do not require a response. No response is needed for activities you do not participate in or facilities you do not use.
Includes Wall Charger + 5 ft Cable!
Click picture for more details!