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We would like to know about your National Alcohol and Drug Addiction Recovery Month (Recovery Month) efforts this September and how useful you found this toolkit for planning your activities. This information will be used in the development of future outreach materials distributed by the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment.
Your response is voluntary, but your input is essential so that the Recovery Month materials we provide in future years will continue to meet your needs. We encourage you to include photographs and/or samples of supporting materials from your Recovery Month activities.
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*First Name:
*Last Name:
*Title:
*Organization Name:
*Organization Address:
Organization Address is required
Organization Address 2:
*City:
*Select State/Country
*Zip Code:
Organization Web site address:
*Phone:
Fax:
*E-mail address:
*Please provide a brief description of your event or major activities. (Please attach additional sheets, if necessary.)
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*Did you receive media coverage?
If yes, who covered your event? (Please attach a brief summary or copies of articles.)
Please tell us which kit materials listed below you used and provide suggestions for improving them.
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Please send your response to:
SUBSTANCE ABUSE AND MENTAL HEaltH SERVICES ADMINISTRATION Center for Substance Abuse Treatment Office of the Director, Consumer Affairs 1 Choke Cherry Road, Second Floor Rockville, MD 20857 Fax: 240-276-2710 (Attn: Michele Monroe)
Thank you for sharing your Recovery Month story with us.
NOTE: Public reporting for this collection of information is estimated to average 10 minutes per response. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: SAMHSA Reports Clearance Officer, Paperwork Reduction Project (0930-0197); Room 5-1039, 1 Choke Cherry Road, Second Floor, Rockville, MD 20857. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 0930-0197 and the expiration date is 1/31/2011.
The Recovery Month effort aims to promote the societal benefits of alcohol and drug use disorder treatment, laud the contributions of treatment providers and promote the message that recovery from alcohol and drug use disorders in all its forms is possible.
Materials and events posted on the National Alcohol and Drug Addiction Recovery Month (Recovery Month) Web site are solely the responsibility of the authors and do not necessarily represent the official views the U.S. Department of Health and Human Services, the Substance Abuse and Mental Health Services Administration or the Center for Substance Abuse Treatment.
© National Alcohol & Drug Addiction Recovery Month 2009