Key and Eyeglass Survey

Question Title

* 1. Hello, Teachers!

Thank you for taking the Key and Eyeglass pick-up survey. Please indicate how many keys and eyeglasses require pick-up at your school, and I will assist in making arrangements for donation.

Answer in whatever unit is most convenient (10 keys, three small boxes, etc.), but please do indicate units.

Thank you for your participation!

Best,
Eve

Question Title

* 2. Contact Information

Name

School

Question Title

* 3. I have approximately this many keys in need of pick-up:

Quantity

Question Title

* 4. I have approximately this many eyeglasses in need of pick-up:

Quantity

Question Title

* 5. I have these other needs or concerns...