KPJR Films Book Club Survey KPJR Films is thinking about creating a Book Club! Are you interested? Please fill out this brief survey below to help us determine community interest. OK Question Title * 1. How many trauma-informed books do you read each year? Less than 5 Less than 10 More than 10 Other (please specify) OK Question Title * 2. How many Book Club readings are you likely to start and complete annually? All of them As many as I can A few of them None OK Question Title * 3. Who are your favorite trauma-informed authors? OK Question Title * 4. Would you recommend the Book Club to a friend or colleague? Yes No Maybe OK Question Title * 5. Would you participate in a monthly or quarterly "Talk Back" event with the author or subject, either through a webinar, Facebook LIVE streaming or another digital forum? Yes No OK Question Title * 6. Do you have any book recommendations that you would like to see included in Book Club readings? OK Question Title * 7. If you would like to join the club, please register below: Name Company Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number OK DONE
