SurveyMonkey Powered Online Survey

1. Contact Information

Thank you for participating in this year's Big Bowl Vote. This tally form will capture the information obtained from your students' responses.

A national press release reflecting the Big Bowl Vote will be issued this Wednesday. A copy of the press release, along with the final results will be sent to the email address you provide below. Final results will also be available at DrugFreeActionAlliance.org/BigBowlVote.

Question Title

* 1. Please provide your contact information.

Name:

Title:

Organization/Coalition

Address:

City/Town:

State: *

ZIP: *

Email Address: *

Phone Number:

Question Title

* 2. How many students watched the Super Bowl?

Grades 6, 7, and/or 8

Grades 9, 10, 11 and/or 12

Other Age-Groups

Question Title

* 3. How many students DID NOT watch the Super Bowl?

Grades 6, 7, and/or 8

Grades 9, 10, 11 and/or 12

Other Age-Groups