* 1. When did you receive your United Through Reading program recording?

Date / Time
/
/

* 2. In which branch of the military does your loved one serve?

* 3. If Applicable:

* 4. Your loved one completed their United Through Reading recording at

* 5. How many United Through Reading program recordings has your loved one made during this absence?

* 6. Please rate your agreement with this statement: I was satisfied with my recent United Through Reading program experience.

* 7. How many child(ren) in each age group watched the recording(s)?

  1-2 3-4 5 or more N/A
Number of Children Age 0-5
Number of Children Age 6-12
Number of Children Age 13-18

* 8. How is your loved one related to the child(ren) for whom the recording was made?

* 9. The technology used for this recording was:

* 10. On what device was the recording viewed? Please check all that apply.

* 11. Did you experience any difficulties viewing the recording(s)?

* 12. How were you able to share the child(ren)'s response to the recording(s) with your loved one? Please check all that apply.

* 13. Please rate your agreement with this statement: I believe the recording(s) reduced the child(ren)'s anxiety about their loved one's absence.

* 14. Please rate your agreement with this statement: I believe the recording(s) have increased the child(ren)’s interest in reading and books.

* 15. Please rate your agreement with this statement: The program helped my family feel more connected to our loved one during their absence.

* 16. Please rate your agreement with this statement: The United Through Reading program eased my own stress during our loved one's absence.

* 17. How likely is it that you would recommend the United Through Reading program to a friend or colleague?

* 18. Approximately how often did your child(ren) watch the recording(s) during this deployment?

* 19. Please share any additional comments or suggestions you have regarding the United Through Reading program.

* 20. Name & E-mail Address (optional)

* 21. May United Through Reading and our program partners at USO have your permission to use your quotes from this survey as long as it relates to the business and educational activities of United Through Reading?

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