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Outdoor Education Survey
Please complete the following form. Read and answer each question carefully. We will be using your results to help shape the activities of this course.
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* Indicates required question
Name:
*
Your answer
Date of Birth
*
(dd/mm/yyyy)
Your answer
Homeroom # and Teacher
*
Your answer
Time Table
*
Please list your course code, teacher, and room #
Your answer
Which of the following activities are you interested in?
*
please check all that apply
downhill skiing
snowboarding
cross country skiing
dog sledding
ice fishing
skating
sliding
snowshoeing
winter camping
hiking
mountain biking
fishing
canoeing
kayaking
geocaching
summer camping
gardening
Other:
Required
List your top five favourite outdoor activities
*
Your answer
Rank each of the following activities from 1 (no experience) to 5 (expert)
*
DOWNHILL SKIING
1
2
3
4
5
*
SNOWBOARDING
1
2
3
4
5
*
CROSS COUNTRY SKIING
1
2
3
4
5
*
DOG SLEDDING
1
2
3
4
5
*
ICE FISHING
1
2
3
4
5
*
SKATING
1
2
3
4
5
*
SLIDING
1
2
3
4
5
*
SNOWSHOEING
1
2
3
4
5
*
WINTER CAMPING
1
2
3
4
5
*
HIKING
1
2
3
4
5
*
MOUNTAIN BIKING
1
2
3
4
5
*
FISHING
1
2
3
4
5
*
CANOEING
1
2
3
4
5
*
KAYAKING
1
2
3
4
5
*
GEOCACHING
1
2
3
4
5
*
SUMMER CAMPING
1
2
3
4
5
*
GARDENING
1
2
3
4
5
Complete the following Equipment Checklist
*
Check all that apply
downhill skis
snowboard
cross country skis
skates
snow shoes
tent
mountain bike
digital camera
GPS unit (handheld *** not for your car :)
Required
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