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Welcome to the BrainSpace concussion awareness training course for
MIDDLE SCHOOL PARENTS
.
Complete all fields below to continue.
Parent/guardian information
First name
Last name
Email address
Please select your gender.
select
Female
Male
Other
What is the primary ethnicity you identify yourself as?
select
African American
American Indian or Alaska Native
Asian Indian
Caucasian or White
Chinese
Filipino
Guamanian or Chamorro
Hispanic or Latino
Japanese
Korean
Marshallese
Chuukes
Native Hawaiian
Pohpeian
Samoan
Tongan
Other
Prefer not to say
Child information
What is the primary sport your (oldest) child participates in?
select
Air Riflery
Baseball
Bowling
Boys Basketball
Boys Soccer
Boys Volleyball
Boys Water Polo
Cheerleading
Cross Country
Football
Girls Basketball
Girls Soccer
Girls Volleyball
Girls Water Polo
Golf
Judo
Lacrosse
Paddling
Soccer
Soft Tennis
Softball
Swimming
Tennis
Track and Field
Wrestling
What school does your (oldest) child currently attend? (if not on drop down, please select [Other])
select
Aiea Intermediate
Aliamanu Middle
Central Middle
Dole Middle
Dreamhouse Ewa Beach PCS
Ewa Makai Middle School
Highlands Intermediate
Hilo Intermediate
Honouliuli Middle
Iao Intermediate
Innovations PCS
Jarrett Middle
Kalama Intermediate
Kamakahelei Middle
Kau High School (Middle)
Kawananakoa Middle
Keaau Middle
Kealakehe Intermediate
King Intermediate
Lahaina Intermediate
Laupahoehoe Community - PCS
Lokelani Intermediate
Maui Waena Intermediate
Mililani Middle
Moanalua Middle
Molokai Middle
Niu Valley Middle
Pahoa Intermediate
Stevenson Middle
Waiakea Intermediate
Waialua Intermediate
Waianae Intermediate
Waimanalo Intermediate
Waipahu Intermediate
Washington Middle
West Hawaii Explorations Academy PCS
Wheeler Middle
[Other]
If other, please specify
What is your (oldest) child's gender?
select
Female
Male
Other
What grade in school is your (oldest) child?
select
9th/Freshman
10th/Sophomore
11th/Junior
12th/Senior
6th
7th
8th
Has your child(ren) ever had a concussion before?
select
Yes
No
Have you or anyone in your household ever been diagnosed with a concussion by a medical professional?
select
Yes
No
Have you ever had any type of formal training on the topic of concussions/head injuries?
select
Yes
No
PLEASE PRESS BUTTON ONCE TO BEGIN.
Begin course
Returning users click here
Questions or technical issues? Email us at hcamp@hawaii.edu
