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

Date / Time

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

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* 3. If Applicable:

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

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

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

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* 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

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

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* 9. The technology used for this recording was:

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

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

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* 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.

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* 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.

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

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

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

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

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

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

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

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* 21. May United Through Reading 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?

T