Ashtabula Fire Department ~ Fire Safety Education Questionaire

Fire Department
Fire Safety Education Questionaire

Department Name:

Department State:

Department Type:

Department Size:

Does your department have a dedicated juvenile fire safety educator?

If "Yes" is fire safety education their only responsibility?

Is your juvenile fire safety curriculum the result of coordinated department planning?

If "Yes", was the planning grade level specific?

What planning process was used?

Is your juvenile fire safety curriculum age specific, or do you try to adjust your message to the group that you're in front of?

Where do you obtain your juvenile fire safety materials (By grade level, check all that apply)?

Which of the following juvenile fire safety teaching methods do you use (By grade level, check all that apply)?

	Pre-K	K	1st/2nd	3rd/4th
Multi-media (DVD, CD, VHS)
Characterization (Robots, puppets)
Coordinated Program (Risk Watch)
Lecture, group discussion
Activities (Safety Town, Safety Trailer, Role play)
Fire Station Tours
Printed Handout Material
Home Safety Inspections

Where do you most frequently teach juvenile fire safety (By grade level, check all that apply)?

What fire safety concepts do you stress by grade level?

Approximately how many children attend your safety programs each year?:

   Pre-K:
   K:
   1st/2nd:
   3rd/4th:

Which of your programs do you feel is the most effective?:

Which grade level do you feel is the most receptive to fire safety education?:

Which grade level do you feel is the least receptive to fire safety education?:

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