Exit this survey NBAP Activity Report Question Title * 1. What is your first and last name? Question Title * 2. Which state do you represent? Question Title * 3. What is your email address? Question Title * 4. What is your phone number? Question Title * 5. What was the date of your ambassador activity? Enter date Date Question Title * 6. Select the type of activity conducted: Youth event (ex: classroom presentation, audience of high school aged youth or younger) Consumer event (ex: retail event, event targeting consumers over the age of 18) Youth and consumer event Media Interview Comments Question Title * 7. What was the name of the event or group? Question Title * 8. Please provide a brief event description: Question Title * 9. What was the total number of people in audience (if actual number not known, please estimate): Next
