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Gender
 
Male
 
Female
 
 
 
Age
   
 
 
 
Household Income
 
0-15,000
 
15,000-25,000
 
25,000-35,000
 
35,000-45,000
 
45,000-55,000
 
55,000-65,000
 
65,000-and up
 
 
 
Marital Status
 
Single
 
Married
 
 
 
Number and Ages of Children?
   
1
   
2
   
3
   
4
   
5
   
6
   
 
 
Did you play outside as a kid?
 
Yes
 
No
 
 
 
How many days a week did you play ouside as a kid?
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
 
 
When outside how many hours were spent there each day as a kid?
 
1
 
2
 
3
 
4
 
 
 
Types of outdoor play you experienced as a kid?
 
Free Play
 
Public Parks
 
Woods
 
Backyard
 
Organized Sports
 
 
Does your child play outside?
 
Yes
 
No
 
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