Please complete and submit this feedback form for the Alliance for Children and Families' "Scanning the Horizons: Statistical Trends Overview" (2/2010.)

* 1. Today's Date:

Please enter today's date:

* 2. Your Name:

* 3. Your title:

* 4. Organization Name

* 5. City

* 6. State

* 7. Your E-Mail Address:

* 8. Did you, or will you, use some of the information that appeared in the Statistical Trends Overview?

* 9. If you answered yes to the previous question, please tell us how you used, or plan to use the Statistical Trends Overview (check all that apply):

* 10. Is the Statistical Trends Overview easy to read and understand?

* 11. On a scale of one to ten (one being not valuable and ten being extremely valuable), please rate the value of the Statistical Trends Overview.

* 12. Overall, how would you rate the Statistical Trends Overview?

* 13. Have you visited the Alliance's trend website,, which houses all the trends identified throughout the year?

* 14. General comments or recommendations for additional statistics - please list 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
Ph: 414-359-1040 or 800-221-3726, ext. 3615
Fax: 414-359-1074, attn: Severson