Flotation Device Usage and Drownings
1.
What is your name?
2.
What is your child's name?
3.
How often did your child use a flotation device?
Every time they were in the pool
Most of the time when they were in the pool
Over half of the time they were in the pool
Half of the time they were in the pool
Under half of the time they were in the pool
Never in the pool-only in open water
They never used flotation devices in any kind of water
4.
How long before their accident had it been since they used a flotation device?
Less than 10 minutes.
Less than 20 minutes.
Less than 30 minutes.
Less than an hour.
Less than a day.
Less than a week.
less than a month.
Less than 6 months
Less than a year
Over a year
5.
What was your child's age at the time of their drowning?
0-1 years old
2-3 years old
4-5 years old
6-10 years old
10 + years old
6.
Was your child's drowning
Fatal
Non-Fatal
Current Progress,
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