* 1. Organization Name and Address

* 2. Site Coordinator's Name and Email Address

* 3. Site Coordinator's Phone Number

4. As we prepare for Project Impact we try and communicate via letters, emails and phone calls. On a scale of 1-5 (5 being highest) how satisfied are you with these means of communication?

5. Out of the three different ways of communication (phone, letters and e-mail) which do you find most effective?

6. Our plan is to be on site working for you from 9am- 1pm. On a scale from 1 to 5 (5 being highest) please rate your satisfaction with both the number of hours and time of day.

7. In 1-2 sentences please describe your overall satisfaction with Project Impact.

8. What suggestions do you have that will make our experience together during Project Impact more effective?

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