Please select your State


Please select your County

1. In the last week, approximately how much time have your children spent on each of the following activities?

   playing sport Hours
   watching live sport Hours
   watching sport on T.V. Hours
   playing computer sport games Hours
   reading about sport Hours
   coaching sport Hours

2. Which of the following organized sporting events do your children participate in?

   Check all that apply.
  Football   Basketball   Running
  Baseball   Soccer   Aerobics
  Wrestling   Volleyball   Gymnastics
  Tennis   Softball   Other
  None

3. What is your primary interest when enrolling your children in sport-related activities?

   Check all that apply.
  Physical Fitness   Enjoyment   Skills Enhancement
  Weight Management   Social Activity   Other

4. Are you currently a member at an athletic facility?

  Yes      No

5. What do you like about your local athletic facility?

   Please check all that apply.
  Friendly staff   Good sports facilities
  Types of activities provided   Good changing facilities
  Cleanliness   Reasonable prices
  Proximity (e.g., nearby)   Ease of reservations
  Hours of operations   Other
    Not Applicable

6. Overall, are you currently satisfied with their products, services, and/or fees?

  Yes      No   Not Applicable

7. Which of the following organized sporting events do your children wish to participate in?

   Please select 3.



8. What are the reasons that your children do not participate in the above selected sports?

   Please check all that apply.
  Time   Equipment Costs
  Registration Fees   Transportation
  Conflicts with other sport   Not offered thru school
  No facility nearby/travel time   Other

9. Are you interested in EduSports providing programs for parents during the hours their children are in session?

  Yes      No

10. If so, which type of program would you consider?

   Check all that apply.
  Group exercise (Pilates, Yoga, Aerobics)
  Cardio conditioning (stationary bike, treadmill)
  Personal fitness (weight training, strength training)
  Organized sporting event (soccer, baseball, volleyball)
  Specialty program (CPR, First Aid/Safety)
  Adult nutrition education (healthy cooking, organics)
  Not Applicable

11. Are you interested in your child receiving youth nutrition education while enrolled in the sport?

  Yes      Maybe      No

12. How much do you know about nutritional value for creating a healthy lifestyle?

  Above Average     Average     Below Average     None

13. What topic(s) are you most interested in?

   Check all that apply.
  Pre-game meals
  Eating on the road
  Sports nutrition benefits
  Recovery nutrition after exercise and competition
  Fluids, sports drinks, and hydration

14. What do you usually have for breakfast?

   Check all that apply.
  Milk   Fruit juice   Hot beverage   Hot cereal
  Cold cereal   Eggs   Toast   Muffin
  Bagel   Cereal bar   Cheese   Yogurt
  Other   No breakfast

15. When you are thirsty, what do you usually prefer to drink?

   Please check only one.
  Water   Soft Drink   Juice   Coffee/Tea
  Sport Drink   Milk   Chocolate Milk   Other

16. Have you ever changed your eating habits in order to create healthier meals for you and your family?

  Yes      No

17. Would you spend money on a sport in which nutritional and physical education is included?

  Yes      No

18. If so, how much are you willing to spend on that sport? (i.e. essential protective equipment and basic uniforms provided)

Sport Amount Frequency
  
  
  

19. For statistical purposes only, what is your total annual household income?

  Under $25,000
  $25,000 to under $40,000
  $40,000 to under $60,000
  $60,000 to under $80,000
  $80,000 to under $100,000
  $100,000 or more
  Prefer Not to Answer