Your experience with ASQ can help others develop and sustain an effective screening program. We would like to hear your story, and collaborate to share your successes!

Please complete this short form to tell us about your screening program, and indicate your interest in being highlighted. We’ll be in touch to discuss further.

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* 1. First and Last Name

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* 2. Title

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* 3. Organization Name

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* 4. Email address

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* 5. What ASQ products do you use?

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* 6. How long has your program used ASQ?

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* 7. In what areas have you had the most success or overcome challenges? (Choose all that apply.)

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* 8. Please briefly describe your ASQ experience and expand on your answers above. How has ASQ contributed to your organization's outcomes? What are your successes? What challenges did you overcome?

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* 9. Would you be willing to share your experience with other ASQ users? Please indicate your preferences below. Brookes would collaborate with you to develop the material. (Choose all that apply.)

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* 10. Please share any other thoughts.

Thank you! We appreciate hearing about your ASQ experience. We'll be in touch to discuss further. In the meantime, if you have questions, please contact Jessica Reighard at jreighard@brookespublishing.com

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