Survey


As a part of May's National Water Safety Month, we are conducting a survey of Palm Beach County residents to determine behaviors around water safety.

Please take a few minutes to answer these questions and you may become eligible for a free door alarm.
Please provide the following contact information.
*First Name
*Last Name
*Address
*City
*Postal or Zip Code
*Phone
*Email




*Do you have, or care for, children or grandchildren in the following age groups? (check all that apply)
 Younger than 1
 1-4
 5-9
 10-12
 12+
 None

*Do you live in a single-family home with a pool on the property (inground or above ground)?
 Yes
 No

*Does your home have access to a body of water (i.e. lake, river or canal)?
 Yes
 No

*Has your child/grandchild had any formal swimming lessons?
 Yes
 No

*Have you had formal CPR/first aid training?
 Yes
 No

*If you have a pool, what safety devices do you use?
 Isolation fencing (i.e. fencing around the pool)
 Self locking/self latching gate on your property
 Pool cover
 Pool alarm (attached to coping of pool)
 Door alarm
 Gate alarm
 None
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Children's Services Council of Palm Beach County
2300 High Ridge Road, Boynton Beach, FL 33426
561-740-7000 or 1-800-331-1462
561-835-1956
Under Florida law, e-mail addresses are public records.
If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.
© 2014 Children's Services Council of Palm Beach County