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Grande Prairie and Area Safe Communities

Thank you for taking part in the BrainSaver Helmet Safety program.  

Your feedback helps us to improve helmet safety education, reduce barriers to helmet use, and support injury prevention in our community. 

Thank you for your time and feedback in filling out this short form.


What month did you see or take part in the BrainSaver Helmet Safety Program? *

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How did you take part in the BrainSaver Helmet program? *

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How many people including yourself participated in the Brainsaver program? *


What were the ages of all participants? Please include yourself and all other people who were with you. Select all that apply. *

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Before taking part in the BrainSavers program did you wear a helmet when riding bicycles, scooters, rollerskates/blades, skateboards and other wheeled devices? *

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What were the reasons you didn't wear a helmet? *

  Please click all reasons that apply to you.

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As Part of BrainSaver program, I received or took part in: *

Please click all that apply.

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After taking part in BrainSaver, how much do you agree with the following? *

Please choose your agreement level for each sentence.

  Strongly Disagree Disagree Not Sure | Neither Agree nor Disagree Agree Strongly Agree
I have a better understanding of how helmets work to protect me.
I know how a helmet should fit
I know how to check if a helmet fits properly
I know when I should wear a helmet
I know how to adjust my helmet to fit
I know more about when a helmet should be replaced
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Which of the following statements are true? *

Which of the following statements are true?  Please click on all that you feel are true.


After taking part in the Brainsaver program, how often will you wear your helmet when riding? *

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After taking part in BrainSavers, I feel Confident that: *

  Strongly Disagree Disagree Not Sure | Neither Agree nor Disagree Agree Strongly Agree
I can make sure my helmet fits properly
I can help someone else with helmet fit
I know that wearing a helmet is important for my safety
I know when a helmet needs replaced
I will wear a helmet when riding
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After taking part in BrainSavers, I feel that: *

Please select your level of agreement with the statements below.

  Strongly Disagree Disagree Not Sure | Neither Agree nor Disagree Agree Strongly Agree
Seeing adults wear helmets helps kids and teens choose to wear helmets.
Adults should wear helmets to set a good example for youth.
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Overall, did BrainSavers help you feel more prepared to ride safely? *

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What was the most helpful thing you learned or received?


Is there anything we could do better?


Please share any additional thoughts, comments, or concerns.


Overall, how would you rate your experience with the BrainSaver program?


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© 2026 Grande Prairie and Area Safe Communities

10318 92 Street, Grande Prairie, AB, T8W 2N8, CA  780-402-2818

www.gpsafecommunities.com  programs@gpsafecommunities.com

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