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This form is for evaluation of the Alliance for Children and Families' latest trend report: Scanning the Horizons, 2010-2011.

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* 1. Today's Date:

Date

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* 2. Your Name:

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* 3. Your title:

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* 4. Organization Name

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* 5. City

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* 6. State

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* 7. Your E-Mail Address:

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* 8. Did you, or will you, use some of the information that appeared in Scanning the Horizons, 2010-2011?

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* 9. If you answered yes to the previous question, please tell us how you used, or plan to use, Scanning the Horizons, 2010-2011 (check all that apply):

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* 10. Is Scanning the Horizons, 2010-2011 easy to read and understand?

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* 11. On a scale of one to ten (one being not valuable and ten being extremely valuable), please rate the value of Scanning the Horizons, 2010-2011:

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* 12. Overall, how would you rate Scanning the Horizons, 2010-2011?

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* 13. Have you visited the Alliance's trend web site, www.alliancetrends.org, which houses all the trends identified throughout the year?

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* 14. Comments/Recommendations for improvement/Suggestions for additional subjects:

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* 15. Testimonials are a wonderful way to share the value of the Alliance's trend report. If you feel inclined to comment “on the record” about the value you obtain from this report, please share your thoughts with us below:

Please consider joining the National Trend Report Committee. For more information on or to join this committee, please feel free to contact us at the phone number or e-mail address below. Thank you very much for taking the time to fill out this survey!

The Severson National Information Center Staff
Alliance for Children and Families
11700 W. Lake Park Dr.
Milwaukee WI 53224
www.alliance1.org
Ph: 414-359-1040 or 800-221-3726, ext. 3615
Fax: 414-359-1074, attn: Severson
severson@alliance1.org

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