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Dear Campaign Participant:
So -- what do you think? Is there something that we should have included? Omitted? We’re interested in your feedback! Please take a moment to complete this postpaid, pre-addressed card and return it to us. This will help us better serve you in the future. Thanks.
- Which three pieces of the planner did you find most useful?
- _________________________
- _________________________
- _________________________
- From whom (what agency or organization) and when did you receive this planner?
- Who _________________________
- When _________________________
- (month), 199____
- Please rank-order what materials you find most useful. (1=most useful; 4=least useful)
- ____ Buckle Up America! Week
- ____ Data/Statistics
- ____ Success Stories
- ____ Public information and education materials
- Are there any items (or types of materials) you would like to see in future planners that you haven’t seen yet?
(Be creative.)
- If NHTSA could not continue funding Campaign Safe & Sober Quarterly Planners after September 1998, how much would your organization be willing to pay per planner to continue receiving updated materials regularly?
- ____$ 0
- ____$1-$5
- ____$6-10
- ____>$10
- Are Campaign Safe & Sober planner materials being used to support your sTEP program?
- ____YES
- ____NO
Additional comments:
If you would like to order additional copies of the Campaign Safe & Sober - Youth & Generation X, 1998 Planner, please indicate the number below. Up to 10 copies are available free. Even if you don’t order more planners, please tell us who you are.
# of copies requested
Name Phone
Organization
Address (do not use P.O. Boxes)
City/State/Zip
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