2025 AED Awareness / Interest Survey

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Are you completing this form on behalf of a district or school?* This field is required.
District
School
4
School Name* This field is required.
5
District Name* This field is required.
6
Location* This field is required.
Street Address
Street Address Line 2
City
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Idaho
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Maine
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New York
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Ohio
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
7
Number of schools in your district* This field is required.
8
Number of teachers and staff in the district* This field is required.
9
Number of staff on campus* This field is required.
10
How many students does your district serve?* This field is required.
11
How many students are there at your school?* This field is required.
12
Do you know what an Automatic External Defibrillator (AED) is?* This field is required.
Yes
No
13
Are there any AEDs on your campus(es)?* This field is required.
Yes
No
14
Does each school in the district have an AED?* This field is required.
Yes
No
15
If "No" which school(s) in your district are without AEDs?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
16
How many AED devices are on campus?* This field is required.
17
How many AED devices are on campus? (Please list each school and number of AEDs)* This field is required.
Huge
Large
Normal
Small
Ok
Ok
18
How many AEDs are expired?* This field is required.
19
Where are the AEDs located? (Select all that apply)* This field is required.
Gym
Football/Sports Field
Cafeteria
Nurse's Office
Other
20
Please select the reason(s) for not having an AED on campus (Select all that apply)* This field is required.
Too expensive
We are not required to have one
No staff is trained
Not needed
Other
21
Are staff members trained in using an AED?* This field is required.
Yes, ALL staff members are trained
Yes, but ONLY the nursing staff are trained
Yes, but ONLY SOME staff members are trained
No, training IS NOT required for staff members
I don't know if there is staff trained or not
22
Are staff members trained in providing CPR?* This field is required.
Yes, ALL staff members are trained
Yes, but ONLY SOME staff members are trained
No, training IS NOT required for staff members
I don't know if there is staff trained or not
23
Are the AEDs regularly inspected?* This field is required.
Yes
No
Unknown
24
Do you have any athletics programs provided on campus?* This field is required.
YESNO
25
Please select which athletics programs are at your school (Select all that apply)* This field is required.
Football
Baseball/Softball
Basketball
Track & Field/Cross Country
Tennis/Racquet sports
Swimming/Diving
Wrestling
Soccer
Lacrosse/field hockey
Gymnastics
Other
26
Do you have Athletics Facilities on campus?* This field is required.
YESNO
27
Which Athletics Facilities do you have on campus? (Select all that apply)* This field is required.
Gymnasium/Basketball Arena
Football Field
Auxiliary Gymnasium
Weight Room
Baseball/Softball Fields
Track
Tennis Courts
Swimming Pool
Other
28
If "Other" please describe the additional Athletics Facilities your campus has* This field is required.
29
If chosen to participate, there will be two trainings for selected staff members to participate in. These trainings need to be completed in July, 2026. Can you commit to completing these trainings in before August, 2026?* This field is required.
YESNO
30
If you are selected for this program, will you secure your superintendent's permission to participate?* This field is required.
YESNO
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