JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Icing and Heating Pack Engineering Project
This survey is implemented by students from Newark Charter School that are
currently enrolled in the Level 3 Engineering Design and Development course.
The sole purpose of this survey is to gather information that will help inform our
design decisions in regards to solving our design problem established for our
yearlong engineering project.
Participation in this survey is completely voluntary and all results will be
kept both confidential and anonymous.
If there is an item that you do not wish to respond to, please feel free to
skip that item. If you wish to not have your survey counted, please inform
the survey administrator and your survey will be destroyed.
Please understand that if the survey is voluntarily submitted, the students
and the school will be held harmless for any information that is shared by
the participant.
Thank you very much for taking the time to assist us in developing this
engineering project.
* Indicates required question
Email
*
Your email
Which age range do you fall into?
under 13 years
14 - 18 years
19 - 30 years
31 - 40 years
41 - 50 years
51 - 60 years
60+ years
Clear selection
Which gender do you identify with?
Female
Male
Prefer not to say
Other:
Clear selection
Are you an athlete?
Yes
No
Clear selection
What sport(s) do you play?
Baseball
Basketball
Cheerleading
Cross Country
Dance
Field Hockey
Flag Football
Football/Rugby
Golf
Ice Hockey
Lacrosse
Martial Arts
Soccer
Softball
Swimming
Tennis
Track and Field
Volleyball
Wrestling
Other:
How long have you been actively participating in this sport (or sports)?
0 - 5 years
6 - 10 years
10 - 15 years
15 - 20 years
20+ years
Clear selection
Have you ever experienced any injuries related to sports?
Yes
No
Clear selection
Have you experienced any musculoskeletal injuries related to sports (strains, sprain, tears, pulls, spasms, bruising, etc)?
Yes
No
Unsure
Clear selection
Have you ever tried hot/cold compression therapy (ice and heat packs)?
Yes
No
Unsure
Clear selection
Did performing hot/cold compression therapy ease pain?
Yes
No
Somewhat
Clear selection
On a scale of 1 through 5, did you feel that hot/cold compression therapy improved your recovery?
Feel free to skip this question if you are unsure about the effects of hot/cold therapy on your recovery.
No noticeable improvement
1
2
3
4
5
Dramatic improvement
Clear selection
Was taking the ice/heat pack on and off a problem for you?
Yes
No
Unsure
Clear selection
Would you be interested in a product that makes hot/cold therapy more convenient and easy to use?
Yes
No
Maybe
Clear selection
How much would you be willing to pay for a product that makes hot/cold therapy more convenient and easy to use?
$20 or less
$20 - 30
$30 - 40
$40 - 50
$50+
Clear selection
What other problems have you experienced while performing cold/hot compression therapy?
Your answer
Do you feel comfortable with following up on your answers with the administrator of this survey?
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Newark Charter School.
Report Abuse
Forms