Please complete this brief survey. It helps us understand how communities are getting involved in Road Safety Week and helps us improve our resources for future years. Your response also helps us achieve funding for this important event. Thank you!

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* 1. Name:

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* 2. Job title (if relevant):

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* 3. Name of your organisation/community group/club (if relevant)

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* 4. Choose one of the following that best represents you or your organisation:

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* 5. Email:

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* 6. Did you use or display the downloadable posters or web banners from your e-action pack?

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* 7. Did you think that the posters and web banners were appropriate for the audience you work with?

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* 8. Which of the following activities did you run for Road Safety Week? (tick as many as apply)

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* 9. Who was your initiative aimed at? (tick as many as apply)

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* 10. Please briefly summarise your activity in no more than 80 words, including how well you think it went:

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* 11. Have you used information and guidance from the Road Safety Week action pack or Brake websites to help plan/inform your activities?

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* 13. Was there any other information you would have liked but could not get from our websites? (up to 50 words)

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* 14. Are you hoping to take part in Road Safety Week 2015 (23-29 November)?

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* 15. Any comments/suggestions on the way Brake encourages and supports communities/organisations getting involved in Road Safety Week? (max 80 words)

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* 16. We may use information from your response to question 10, about your Road Safety Week activities, on our website or in bulletins to give examples of how communities have got involved, but if you would rather we didn't do this please tick the box below.

Thank you for taking part in our survey, and for your involvement in Road Safety Week. We look forward to working with you in future years.

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