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.

1. Which three pieces of the planner did you find most useful?
   1. _________________________
   2. _________________________
   3. _________________________

2. From whom (what agency or organization) and when did you receive this planner?

   Who _________________________

   When _________________________

   (month), 199____

3. 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

4. Are there any items (or types of materials) you would like to see in future planners that you haven�t seen yet?

   (Be creative.)

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5. 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

6. Are Campaign Safe & Sober planner materials being used to support your sTEP program?

   ____YES

   ____NO

   Additional comments:

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   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

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   Name                                           Phone

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   Organization

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   Address (do not use P.O. Boxes)

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   City/State/Zip

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