subject_line
Thank you for participating in our campaign! Please fill out this short survey!
Contact Name
*
Contact Email
*
What state are you in?
*
Please tell us how you participated in this campaign:
We used the paper English posters
We used the paper Spanish posters
We used the larger, sticky poster
We photocopied and used the parent handout
We downloaded Victor Garber's on-hold audio
We downloaded posters in other languages
We downloaded the PSA film to use
On a scale of 1-10, with 10 being the highest:
How familiar was your office staff with T1D warning signs before this campaign?
*
How familiar is your office staff with T1D warning sings having seen this campaign?
*
How familiar do you think average parents are with T1D warning signs?
*
How helpful is this campaign in educating parents about T1D warning signs?
*
Anything else that you'd like us to know?
Name
Address
City
State
Zip
Thank you!