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Thank you for your order of promotional materials from the Higher Education Alcohol and Drug Strategic Unified Prevention (HEADS UP) program at Virginia ABC!
In order to ensure that our materials suit the needs of our customers, please complete this brief survey to provide feedback on your experience! This information will also be used for our data collection, so please answer all questions to the best of your knowledge.

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* 1. Please provide your full name:

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* 2. Title of event where materials were used:

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* 3. Brief description and purpose of this event:

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* 4. Date of this event:

Date

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* 5. Total number of students reached at this event:
(Defined as students directly engaged at the event through the use of provided materials.)

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* 6. Based on the outcome of this event, what is the likelihood that you will order promotional materials from HEADS UP again?

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* 7. Please rate the following:

  Very poor Poor Good Very good
Age appropriateness of materials
Quality of content/message
Design and layout
Quality of materials
Ease of ordering
Delivery time
Delivery method

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* 8. Do you have any unused promotional materials leftover from this event?

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