HEADS UP Promotional Materials Feedback

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 / Time

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?

Definitely will not

Probably will not

Probably will

Definitely will

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* 7. Please rate the following:

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

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

Yes

HEADS UP Promotional Materials Feedback

Question Title

* 1. Please provide your full name:

Question Title

* 2. Title of event where materials were used:

Question Title

* 3. Brief description and purpose of this event:

Question Title

* 4. Date of this event:

Question Title

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

Question Title

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

Question Title

* 7. Please rate the following:

Question Title

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

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