Hope and Change: Imagine the Possibilities Reader Survey
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1. Hope & Change Imagine the Possibilities Readers' Survey

 
Thank you for your interest in the booklet, Hope & Change Imagine the Possibilities. Please take a few minutes to complete our reader's survey. Your input will help us measure the impact the booklet has made and it will guide the Allegheny County Coalition for Recovery in selecting future initiatives. Your responses will be confidential. Please call 412-325-0369 if you have any questions. We look forward to learning from you.

1. How did you learn about the booklet? (Check all that apply.)

2. Did you find the booklet to be respectful in regards to your:(Please check all that apply)

3. I found the booklet helpful

4. What does this booklet mean to you?

5. After reading the booklet are there any related topics which were not addressed which you would like to learn more about?

6. Did you share the booklet with someone else?

7. So that we might be able to assess the distribution of the booklet, what is your zip code?
(First 5 digits only)

8. What is the year of your birth?